Special Topics: Nursing of Venous Thromboembolism
Influence of C-reactive protein change on risk prediction of deep vein thrombosis in total knee arthroplasty patients
Bingdu Tong, Na Gao, Jia Liu, Ying Jiang, Yaping Chen, Xiaojie Wang, Yuan Xu, Haibo Deng, Yufen Ma
Published 2018-10-16
Cite as Chin J Mod Nurs, 2018, 24(29): 3490-3494. DOI: 10.3760/cma.j.issn.1674-2907.2018.29.004
Abstract
ObjectiveTo investigate the trend of C-reactive protein in patients underwent total knee arthroplasty, and to seek the best time to assess the risk of deep vein thrombosis (DVT) in order to guide clinical nursing.
MethodsA total of 1 316 patients underwent total knee arthroplasty from January 2015 to December 2017 were studied to observe the occurrence of DVT. Patients were divided into DVT group (n=297) and non-DVT group (n=1 019) . The C-reactive protein was compared between the two groups before operation, 1 to 7 days and 14 days after operation.
ResultsWithin 3 months after operation, the incidence of DVT in total knee arthroplasty patients was 22.57% (297/1 316) . Symptomatic DVT occurred in 34 patients during hospitalization and asymptomatic DVT occurred in 263 patients within 3 months after operation. The levels of C-reactive protein in the DVT group were higher than those in the non-DVT group since the 3rd day after operation, and the differences were statistically significant (P<0.05) .
ConclusionsThe level of C-reactive protein in patients with DVT is higher than that in patients without DVT. Medical staff should use various measures to prevent DVT, and dynamically observe changes in C-reactive protein to facilitate the early identification of DVT.
Key words:
Arthroplasty, replacement, knee; Deep vein thrombosis; C-reactive protein; Risk assessment
Contributor Information
Bingdu Tong
Orthopedics Department, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing 100730, China
Na Gao
Orthopedics Department, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing 100730, China
Jia Liu
Orthopedics Department, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing 100730, China
Ying Jiang
Orthopedics Department, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing 100730, China
Yaping Chen
Orthopedics Department, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing 100730, China
Xiaojie Wang
Vascular Surgery Department, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing 100730, China
Yuan Xu
Orthopedics Department, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing 100730, China
Haibo Deng
Cardiac Department, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing 100730, China
Yufen Ma
Nursing Department, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, Beijing 100730, China
