Thromboembolism
Conditions
Keywords
TEG, MEA, Thrombotic events, VTE, LMWH, Hip fractures
Brief summary
Measurement of thrombogenic properties by TEG and MEA and observation of thrombotic events over 2 years in 220 patients with hip fracture.
Detailed description
Patients with proximal femur fracture have high incidences of thrombotic events. By the two bed-side methods TEG (Thrombelastography) and MEA (Multiple Electrode Aggregometry), the thrombogenic properties of 220 patients with proximal femur fracture will be measured at time of hospital admission and 4 times over a period of 6 months postoperatively, and the patients will be followed in a total length of 2 years to register thrombotic events.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients older than 18 years who are admitted to our hospital for orthopedic surgery of proximal femur fracture. * The study participants must be capable to sign/accept informed concent
Exclusion criteria
* Patients with severe dementia or that of other causes not ar capable to give informed concent. * Patients with known or suspected cancer, blood diseases or bleeding disorders * Surgery last 6 months * Severe renal- (eGFR (creatinine) \<30) * Severe hepatic failure (2x UNL for bilirubin, 3x UNL for ALAT or INR \> 1,3 without anticoagulation treatment) * Patients that, by drug spesification or -SPC, not are eligible for postoperative thrombosis prophylaxis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measurements of thrombogenic properties by TEG (Maximum Amplitude) and MEA (Units) and thrombotic events in 220 patients with Hip Fracture. | 24 months | Thrombogenic properties measured by TEG (different measurements as MA) and MEA (measured as U) 6 months after operation for hip fracture and clinical thrombotic events over 24 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Measurements of thrombogenic properties by TEG (Maximum Amplitude) and MEA (Units) in 220 patients with Hip Fracture. | 6 months | Measurements of thrombogenic properties by TEG and MEA in 220 patients patients with Hip Fracture to investigate any correlation between the two Methods and anti-fXa titer. |
| Measurements of thrombogenic properties by TEG (Maximum amplitude) and MEA (Units)) in the 100 patients with Hip Fracture and thrombotic complications | 6 months | Measurements of thrombogenic properties by TEG and MEA (in the first) 100 patients with Hip Fracture and . |
Countries
Norway