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Yang Z, Rongqing R, Yang Z, Yang H, Yin Y, Tian S, Wang Z, Hou Z. Development and validation of a nomogram for predicting deep venous thrombosis in patients with pelvic and acetabular fractures: a retrospective cohort study : Predictive model for pelvic/acetabular fractures. BMC Musculoskelet Disord 2023; 24:773. [PMID: 37784040 PMCID: PMC10544599 DOI: 10.1186/s12891-023-06879-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Accepted: 09/13/2023] [Indexed: 10/04/2023] Open
Abstract
PURPOSE To construct a novel nomogram model that can predict DVT and avoid unnecessary examination. METHODS Patients admitted to the hospital with pelvis/acetabular fractures were included between July 2014 and July 2018. The potential predictors associated with DVT were analyzed using Univariate and multivariable logistic regression analysis. The predictive nomogram was constructed and internally validated. RESULTS 230 patients were finally enrolled. There were 149 individuals in the non-DVT group and 81 in the DVT group. Following analysis, we obtained the final nomogram model. The risk factors included age (OR, 1.037; 95% CI, 1.013-1.062; P = 0.002), body mass index (BMI) (OR, 1.253; 95% CI, 1.120-1.403; P < 0.001); instant application of anticoagulant after admission (IAA) (OR, 2.734; 95% CI, 0.847-8.829; P = 0.093), hemoglobin (HGB) (OR, 0.970; 95% CI, 0.954-0.986; P < 0.001), D-Dimer(OR, 1.154; 95% CI, 1.016-1.310; P = 0.027) and fibrinogen (FIB) (OR, 1.286; 95% CI, 1.024-1.616; P = 0.002). The apparent C-statistic was 0.811, and the adjusted C-statistic was 0.777 after internal validations, demonstrating good discrimination. Hosmer and Lemeshow's goodness of fit (GOF) test of the predictive model showed a good calibration for the probability of prediction and observation (χ2 = 3.285, P = 0.915; P > 0.05). The decision curve analysis (DCA) and Clinical impact plot (CIC) demonstrated superior clinical use of the nomogram. CONCLUSIONS An easy-to-calculate nomogram model for predicting DVT in patients with pelvic-acetabular fractures were developed. It could help clinicians to reduce DVT and avoid unnecessary examinations.
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Affiliation(s)
- Zongyou Yang
- Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, No. 139 Zi Qiang Road, Shijiazhuang, 050051, Hebei, P.R. China
- Orthopaedic Research Institute of Hebei Province, Shijiazhuang, Hebei, China
- Key Laboratory of Intelligent Orthopaedic Equipment, National Health Commission (NHC), The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Ren Rongqing
- Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, No. 139 Zi Qiang Road, Shijiazhuang, 050051, Hebei, P.R. China
| | - Zhizhou Yang
- Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, No. 139 Zi Qiang Road, Shijiazhuang, 050051, Hebei, P.R. China
| | - Hucheng Yang
- Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, No. 139 Zi Qiang Road, Shijiazhuang, 050051, Hebei, P.R. China
| | - Yingchao Yin
- Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, No. 139 Zi Qiang Road, Shijiazhuang, 050051, Hebei, P.R. China
- Orthopaedic Research Institute of Hebei Province, Shijiazhuang, Hebei, China
- Key Laboratory of Intelligent Orthopaedic Equipment, National Health Commission (NHC), The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Siyu Tian
- Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, No. 139 Zi Qiang Road, Shijiazhuang, 050051, Hebei, P.R. China
- Orthopaedic Research Institute of Hebei Province, Shijiazhuang, Hebei, China
- Key Laboratory of Intelligent Orthopaedic Equipment, National Health Commission (NHC), The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Zhihong Wang
- Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, No. 139 Zi Qiang Road, Shijiazhuang, 050051, Hebei, P.R. China
- Orthopaedic Research Institute of Hebei Province, Shijiazhuang, Hebei, China
- Key Laboratory of Intelligent Orthopaedic Equipment, National Health Commission (NHC), The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Zhiyong Hou
- Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, No. 139 Zi Qiang Road, Shijiazhuang, 050051, Hebei, P.R. China.
- Orthopaedic Research Institute of Hebei Province, Shijiazhuang, Hebei, China.
- Key Laboratory of Intelligent Orthopaedic Equipment, National Health Commission (NHC), The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
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Han J, Hao W, Ma Y, Hou Y. MiR-128-3p promotes the progression of deep venous thrombosis through binding SIRT1. Phlebology 2023; 38:540-549. [PMID: 37465926 DOI: 10.1177/02683555231190268] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Abstract
OBJECTIVES This research aimed to study the effect of microRNA-128-3p (miR-128-3p) on deep venous thrombosis (DVT). METHOD The 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, Transwell chamber method, and flow cytometry technique were used in the cell experiments. Potential interconnection between miR-128-3p and silent information regulator sirtuin 1 (SIRT1) was revealed by luciferase activity. The concentration of miR-128-3p and mRNA SIRT1 was assessed by quantitative reverse transcription polymerase chain reaction (qRT-PCR). The receiver operating characteristic (ROC) curve was used to test the predictive effect of miR-128-3p in DVT. RESULTS Decreased miR-128-3p expression was beneficial to cell proliferation and migration and inhibited inflammation, apoptosis, and adhesion of human umbilical vein endothelial cells (HUVECs). The impacts of miR-128-3p on HUVECs were achieved by targeting SIRT1. MiR-128-3p was upregulated in patients with DVT, and it was of great significance in differentiating patients with DVT. CONCLUSION Overexpression of miR-128-3p might become a biomarker for patients with DVT.
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Affiliation(s)
- Jinan Han
- Department of Vascular Surgery, Hulunbuir People's Hospital, Hulunbuir, China
| | - Wanjiang Hao
- Department of Intensive Medicine, Hulunbuir People's Hospital, Hulunbuir, China
| | - Yanping Ma
- Department of General Surgery, Hulunbuir People's Hospital, Hulunbuir, China
| | - Yanqiu Hou
- Department of Hematology, Hulunbuir People's Hospital, Hulunbuir, China
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Hsieh SL, Lin TL, Lo YS, Chen CY, Chang HW, Chen HT, Fong YC, Tsai CH. Trends and treatments of pelvic and acetabular fractures in Taiwan: facing an aging society. Arch Osteoporos 2023; 18:66. [PMID: 37162585 PMCID: PMC10172239 DOI: 10.1007/s11657-023-01255-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 04/21/2023] [Indexed: 05/11/2023]
Abstract
Pelvic-acetabular fractures lead to high mortality in elders and their association between different groups is not known. Our results indicate that older age with pelvic-acetabular fracture was significantly associated with mortality. This finding may help planning and allocating healthcare resources, risk stratification, and optimizing the treatment of pelvic fractures. PURPOSE Pelvic or acetabular fractures are among main outcomes of low-energy trauma such as falls, especially in older adults. They represent approximately 3-8% of all fractures and are associated with a high mortality rate ranging from 4 to 28%. This study is aimed at comparing the incidence and trends of hip fractures and pelvic-acetabular fractures in the Taiwanese general population, gender differences in adults aged over 65 years, and mortality risk between pelvic or acetabular fractures and hip fractures and surgery trends in patients with these fractures. METHODS A retrospective study was conducted extracting data from the National Health Insurance Research Database of patients diagnosed with hip fracture and pelvic acetabular fracture between 2000 and 2018. RESULTS Older age with pelvic-acetabular fracture was significantly associated with increased mortality. No significant differences were found in comorbidities between the two fracture groups. Results provide clear epidemiological evidence for trends in pelvic-acetabular fractures in Taiwan and demonstrate the need for better strategies to manage these fractures and comorbidities, particularly in older adults. CONCLUSION Findings of this study may aid in planning and allocating healthcare resources, risk stratification, and optimizing the treatment of pelvic fractures among older adults in Taiwan.
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Affiliation(s)
- Shang-Lin Hsieh
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung City, Taiwan
- Graduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan
| | - Tsung-Li Lin
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung City, Taiwan
- Graduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan
- Department of Sports Medicine, China Medical University, Taichung City, Taiwan
| | - Yuan-Shun Lo
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung City, Taiwan
- Department of Orthopedic Surgery, China Medical University Bei Gang Hospital, Beigang, Yunlin County, Taiwan
| | - Chun-Yen Chen
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung City, Taiwan
- Department of Orthopedic Surgery, Wei Gong Memorial Hospital, Toufen, Miaoli County, Taiwan
| | - Hao Wei Chang
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung City, Taiwan
- Department of Orthopedic Surgery, Wei Gong Memorial Hospital, Toufen, Miaoli County, Taiwan
| | - Hsien-Te Chen
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung City, Taiwan
- Department of Sports Medicine, China Medical University, Taichung City, Taiwan
- Department of Biomedical Engineering, College of Biomedical Engineering, Taichung, Taiwan
| | - Yi-Chin Fong
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung City, Taiwan
- Department of Sports Medicine, China Medical University, Taichung City, Taiwan
- Department of Biomedical Engineering, College of Biomedical Engineering, Taichung, Taiwan
| | - Chun-Hao Tsai
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung City, Taiwan.
- Department of Sports Medicine, China Medical University, Taichung City, Taiwan.
- Department of Biomedical Engineering, College of Biomedical Engineering, Taichung, Taiwan.
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