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ORIGINAL ARTICLE
Year : 2003  |  Volume : 37  |  Issue : 2  |  Page : 5

Incidence of deep vein thrombosis in Indian patients A prospective study in 104 patients


PD Hinduja National Hospital and Research Center, Mumbai, India

Correspondence Address:
S Agarwala
PD Hinduja National Hospital and Research Center, Veer Savarkar Marg, Mahim, Mumbai 400016
India
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Source of Support: None, Conflict of Interest: None


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The present article is based upon a prospective open randomized study undertaken to evaluate the incidence of postoperative deep vein thrombosis (DVT) in Indian patients undergoing major lower limb surgeries. A total of 104 adult patients were enrolled, 35.6%(37) underwent total hip arthroplasty, 46.1%(48) had total knee arthroplasty and 18.3%(19) had fracture fixation involving the proximal femur. The study population was divided into two groups, group I with 51 patients received prophylaxis with LMWH (dalteparin sodium); group II 53 patients received no prophylaxis. Of the 94 patients evaluated 30/50(60%) in-group II, 19/44(43.2%) in group I and overall 49(52.1%) showed venographic evidence of DVT. There was no statistical significance with respect to the age, sex, and type of anesthesia or bleeding episodes within the groups. The study has shown that post operative DVT is as common in the Indian population as previously documented in the western countries. LMWH is a safe easily administered thromboprophylactic method in reducing the incidence of postoperative DVT.


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