Chinese Journal of Tissue Engineering Research ›› 2010, Vol. 14 ›› Issue (22): 4050-4052.doi: 10.3969/j.issn.1673-8225.2010.22.014

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Venous thromboembolism following total hip replacement and acute physiology and chronic health evaluation scores: A retrospective analysis of 98 cases

Zhao Jin-zhu1, Song Zhan-zhao2, Hu Jian2, Xu Peng2, Sun Pei-feng2, Tao Chun-sheng2, Chen Jun2   

  1. 1 Graduate School of Qingdao University Medical College, Qingdao  266071, Shandong Province, China; 2 First Department of Orthopedics , the 401 Hospital of Chinese PLA, Qingdao  266071, Shandong Province, China
  • Online:2010-05-28 Published:2010-05-28
  • About author:Zhao Jin-zhu, Attending physician, Graduate School of Qingdao University Medical College, Qingdao 266071, Shandong Province, China jinzhu_zh@126.com
  • Supported by:

    a Grant from the 401 Hospital of Chinese PLA *

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Abstract:

BACKGROUND: There are many risk factors for venous thromboembolism (VTE) following total hip replacement, which involves several clinical subjects. There remains no systematic and reliable evaluation system. Frequently, Doppler ultrasound has been used to identify VTE. Acute physiology and chronic health evaluation (APACHE Ⅱ) has been widely used for severity degree and prognosis evaluation of ICU patients.
OBJECTIVE: To evaluate the correlation between APACHEⅡ scoring and VTE after total hip replacement. 
METHODS: APACHE Ⅱ scores (preoperative, VTE and pulmonary thromboembolism, PTE) of 98 patients (106 hip joints) who were treated by total hip replacement in the 401 Hospital of Chinese PLA from 2000 to 2005 were analyzed retrospectively. The APACHE Ⅱ scores were compared between the VTE group and non-VTE group, as well as PTE group and non- PTE group.
RESULTS AND CONCLUSION: There were no significances in APACHE Ⅱ scores between VTE group and non-VTE group   (P > 0.05). The APACHE Ⅱ scores were significantly greater in PTE group compared with non-PTE group (P < 0.05). Results show that there is no correlation between APACHE Ⅱ and VTE in early stage; but the APACHE Ⅱ scores were correlated with PTE following VTE. Moreover, the higher the APACHE Ⅱ scores, the greater risk for PTE is.

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