骨创伤患者并发静脉血栓栓塞症的影响因素分析

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Abstract Objective To investigate the influencing factors of venous thromboembolism in patients with bone trauma.Methods A total of 31 652 patients with bone trauma admitted to the Department of Orthopaedics of Wendeng Osteopathic Hospital from January 2012 to December 2016 were enrolled in the study (Smoky area).Color Doppler ultrasound or venography was used to examine 1 424 cases with venous thromboembolism.Retrospective analysis of the basic data of the patients included gender，age，past medical history，smoking history，bone trauma site，DVT predilection sites and associated diseases were performed with univariate and multivariate logistic regression analysis to analyze the influencing factors.Results Of the 31 652 hospitalized patients with bone trauma，1 424 were diagnosed with complicated venous thromboembolis with an incidence of 4.50%.Among them，there were 1304 cases of DVT，and the incidence rate was 4.12%.There were 237 cases of PE，and the incidence rate was 0.74%.Univariate and multivariate logistic analysis showed that the incidence of venous thromboembolism in patients with bone trauma was asociate with age，long-term immobilization，bone trauma sites，diabetes，D-dimer levels，AIS，and ISS (P＜0.05).Conclusion The incidence of venous thromboembolism in patients with bone trauma is closely related to age，need for long-term immobilization，bone trauma，diabetes and D-dimer levels.

Key words： orthopaedic trauma patients venous thromboembolism deep venous thrombosis pulmonary embolism influencing factors logistic regression analysis

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