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dc.contributor.authorWeinberg, Ido
dc.contributor.authorGiri, Jay
dc.contributor.authorKolluri, Raghu
dc.contributor.authorArcelus, Juan Ignacio
dc.contributor.authorFalga, Conxita
dc.contributor.authorSoler, Silvia
dc.contributor.authorBraester, Andrei
dc.contributor.authorBascunana, Jose
dc.contributor.authorGutiérrez Guisado, Javier
dc.contributor.authorMonreal, Manuel
dc.date.accessioned2018-11-20T12:57:13Z
dc.date.available2018-11-20T12:57:13Z
dc.date.issued2018
dc.identifier.issn1573-742Xspa
dc.identifier.urihttp://hdl.handle.net/10641/1532
dc.description.abstractKnee arthroscopy is the most common orthopedic procedure worldwide. While incidence of post-arthroscopy venous thromboembolic events (VTE) is low, treatment patterns and patient outcomes have not been described. Patients from the "Registro Informatizado Enfermedad TromboEmbolica" who had confirmed post-arthroscopy VTE were compared to patients with provoked, post bone-fracture, and to patients with unprovoked VTE. Baseline characteristics, presenting signs and symptoms, treatment and outcomes including recurrent VTE, bleeds or death were compared. A total of 101 patients with post-arthroscopy VTE and 19,218 patients with unprovoked VTE were identified. Post-arthroscopy patients were younger (49.5 vs. 66 years, P < 0.0001) and had less history of VTE [5.9% vs. 20%, OR 0.26 (0.11-0.59)]. Among patients with isolated DVT, there were fewer proximal DVT in the post-arthroscopy group [40% vs. 86%, OR 0.11 (0.06-0.19)]. Treatment duration was shorter in the post-arthroscopy group (174 ± 140 vs. 311 ± 340 days, P < 0.0001) and more often with DOAC [OR 3.67 (1.95-6.89)]. Recurrent VTE occurred in 6.18 (1.96-14.9) and 11.9 (11.0-12.8) per 100 patient years [HR 0.52 (0.16-1.26)] after treatment in the post-arthroscopy and unprovoked groups, respectively. Recurrent VTE occurred in 5.17 (1.31-14.1) per 100 patient years in a separate post bone-fracture group (n = 147), also not statistically different than the post-arthroscopy recurrence rate. After anticoagulation cessation, some patients post-knee arthroscopy develop VTE. While our small sample size precludes drawing firm conclusions, this signal should warrant further research into the optimal treatment duration for these patients, as some patients may be at increased risk for long-term recurrence.spa
dc.language.isoengspa
dc.publisherJournal of Thrombosis and Thrombolysisspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.subjectAnticoagulationspa
dc.subjectArthroscopyspa
dc.subjectDeep vein thrombosisspa
dc.subjectKnee arthroscopyspa
dc.subjectPulmonary embolismspa
dc.subjectVenous thromboembolismspa
dc.titleCharacteristics, Treatment Patterns and Outcomes of Patients Presenting with Venous Thromboembolic Events After Knee Arthroscopy in the RIETE Registry.spa
dc.typearticlespa
dc.description.versionpre-printspa
dc.rights.accessRightsopenAccessspa
dc.description.extent1878 KBspa
dc.identifier.doi10.1007/s11239-018-1736-9spa


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