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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
Te-Yu Lin
1   Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
,
Yu-Guang Chen
2   Division of Hematology and Oncology, Department of Internal Medicine, National Defense Medical Center, Taipei, Taiwan
,
Wen-Yen Huang
3   Department of Radiation Oncology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
,
Cheng-Li Lin
4   Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan
,
Chiao-Ling Peng
5   Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan
,
Fung-Chang Sung
6   Graduate Institute of Clinical Medical Science, College of Medicine, China Medical University, Taiwan
,
Chia-Hung Kao
6   Graduate Institute of Clinical Medical Science, College of Medicine, China Medical University, Taiwan
7   Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan
› Author Affiliations Financial support: This work was supported by the study projects (DMR-103–012 and DMR-103–018) in our hospital; This study is supported in part by Taiwan Ministry of Health and Welfare Clinical Trial and Research Center of Excellence (MOHW103-TDU-B-212–113002), Health and welfare surcharge of tobacco products, China Medical University Hospital Cancer Research Center of Excellence (MOHW103-TD-B-111–03, Taiwan); and International Research-Intensive Centers of Excellence in Taiwan (I-RiCE) (NSC101–2911-I-002–303).
Further Information

Publication History

Received: 08 January 2014

Accepted after major revision: 23 April 2014

Publication Date:
20 November 2017 (online)

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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
 

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