Association between chronic osteomyelitis and deep-vein thrombosis

Te-Yu Lin; Yu-Guang Chen; Wen-Yen Huang; Cheng-Li Lin; Chiao-Ling Peng; Fung-Chang Sung; Chia-Hung Kao

doi:10.1160/TH14-01-0012

Thrombosis and Haemostasis, Table of Contents

Thromb Haemost 2014; 112(03): 573-579
DOI: 10.1160/TH14-01-0012

Wound healing and inflammation/infection

Schattauer GmbH

Association between chronic osteomyelitis and deep-vein thrombosis

Analysis of a nationwide population-based registry

Authors

Te-Yu Lin

¹Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
Yu-Guang Chen

²Division of Hematology and Oncology, Department of Internal Medicine, National Defense Medical Center, Taipei, Taiwan
Wen-Yen Huang

³Department of Radiation Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
Cheng-Li Lin

⁴Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan
Chiao-Ling Peng

⁵Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan
Fung-Chang Sung

⁶Graduate Institute of Clinical Medical Science, College of Medicine, China Medical University, Taiwan
Chia-Hung Kao

⁶Graduate Institute of Clinical Medical Science, College of Medicine, China Medical University, Taiwan

⁷Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan

Abstract

Summary

Studies on the association between chronic osteomyelitis and deep vein thrombosis (DVT) and pulmonary thromboembolism (PE) are scarce. The aim of this study was to analyse a nationwide population-based database for association between DVT or PE after a diagnosis of chronic osteomyelitis. This nationwide population-based cohort study was based on data obtained from the Taiwan National Health Insurance Database from 1998 to 2008, with a follow-up period extending to the end of 2010. We identified patients with chronic osteomyelitis using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes. The patients with chronic osteomyelitis and comparison controls were selected by 1:1 matching on a propensity score. The propensity score was calculated by a logistic regression to estimate the probability of the treatment assignment given the baseline variables including age, sex, and Charlson comorbidity index score. We analysed the risks of DVT and PE by using Cox proportional hazards regression models, including sex, age, and comorbidities. In total, 24,335 chronic osteomyelitis patients and 24,335 controls were enrolled in the study. The risk of developing DVT was 2.49-fold in patients with chronic osteomyelitis compared with the comparison cohort, after adjusting for age, sex, and comorbidities. The multiplicative increased risks of DVT were also significant in patients with chronic osteomyelitis with any comorbidity. In conclusion, physicians should consider chronic osteomyelitis in their evaluation of risk factors for DVT.

Keywords

Chronic osteomyelitis - deep vein thrombosis - pulmonary embolism

Full Text

References

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