High Risk Of Venous Thromboembolism In Ankle Fracture Patien
A study aimed to evaluate the 90-day incidence of venous thromboembolism among patients discharged from an ED with ankle fractures requiring temporary immobilization. Participants who were included aged 16 years and older discharged from an ED with closed ankle fractures requiring temporary immobilization. A Cox proportional hazards model was used to evaluate risk factors associated with venous thromboembolism, censoring at 90 days or death. Patients with ankle fractures were then propensity score matched to 2 control groups: patients discharged with injuries not requiring lower limb immobilization (ie, finger wounds and wrist fractures) to compare relative hazard of venous thromboembolism. Incidence of venous thromboembolism within 90 days was 1.3%.patients with ankle fractures had an increased hazard of venous thromboembolism compared to matched controls with finger wounds. It was concluded that certain patients immobilized for ankle fractures are at higher risk of venous thromboembolism, and this should be recognized by emergency physicians.

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