Incidence and Risk Factors for Venous Thromboembolism Following Hip Arthroscopy: A Population-Based Study

Abstract

To determine the incidence of symptomatic venous thromboembolism (VTE) after hip arthroscopy (HA) using a large national database while considering several patient demographic factors. Patients ≥20years old who underwent HA between 2007 and 2017 were identified within the Humana administrative claims database using relevant Current Procedural Terminology and International Classification of Diseases Ninth and Tenth Revision codes. Basic demographics, including age, gender, obesity (body mass index ≥ 30kg/m2), oral contraceptive use, smoking history, diabetes, and chronic obstructive pulmonary disease (CLD) were recorded. Postoperative incidence of deep vein thrombosis, pulmonary embolism, and VTE was identified at 30 and 90days postoperatively. Multivariate logistic regression analysis was performed to identify independent risk factors for VTE after HA, with statistical significance set at P < .05. Overall, 9,477 patients underwent HA procedures over the study period, of whom 5,085 (53.7%) were female. The overall incidence of VTE in all patients was 0.77% (n= 73) and 1.14% (n= 108) at 30 and 90days, respectively. Multivariate analysis identified age ≥ 45 (odds ratio [OR]= 1.82; 95% confidence interval [CI], 1.36-2.49; P= .0001), obesity (OR= 1.54; 95% CI, 1.27-1.86; P < .0001), smoking (OR= 1.26; 95% CI, 1.04-1.53; P= .0177), diabetes (OR= 1.59; 95% CI, 1.32-1.92; P < .0001), and CLD (OR= 2.10; 95% CI, 1.63-2.68; P < .0001) as independent risk factors for higher incidence of VTE after HA. However, neither gender nor oral contraceptive use were risk factors for VTE after HA. For patients undergoing HA, the incidence of symptomatic postoperative VTE is low. This study identified age ≥45, obesity, tobacco use, diabetes, and CLD as independent risk factors for VTE after HA. Level III, retrospective cohort study.