Pulmonary embolism and mortality in patients with fractured hips--a prospective consecutive series.

摘要: To find out the causes of death with particular reference to venous thromboembolism all patients being operated on for hip fractures who were taking part in a trial two methods prophylaxis against consecutively and prospectively registered. A total 806 included, 66 whom died within three months (8%). The necropsy rate was 64%. significantly older than those did not. Pulmonary emboli diagnosed 17 42 necropsies: 3 fatal, 5 contributory, 9 incidental. fatal contributory median 31 days postoperatively. In 24 not have necropsies clinical cause deaths cardiac insufficiency (n = 11), pneumonia 8), pulmonary embolism 2), myocardial infarction, cerebral pancreatic cancer 1 each). incidence therefore varies between minimum 0.37% theoretical maximum 3.3%. conclusion, after operations fractured hips is low where routine thromboprophylaxis used. Most develop large are old but live independently. study high essential.