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Should mechanical VTE prophylaxis be indicated in all Asian patients who are contraindica... Recommendation Yes, mechanical VTE prophylaxis is the most appropriate VTE prevention in Asian patients who are contraindicated for pharmacological prophylaxis. This study, on 454 patients who underwent hip fracture surgery with mechanical prophylaxis in all cases, showed an overall DVT incidence of 6.4% (29 patients) and a PE incidence of 1.3% (6 patients) [[24]]. Should a mechanical device for VTE prophylaxis be routinely applied in Asian patients unde... Recommendation Yes, a mechanical device for VTE prophylaxis should routinely be applied in all Asian patients undergoing knee and hip arthroplasty and hip fracture surgery. The subgroup analysis found that 19 (0.8%) proximal DVTs and 83 (3.8%) distal DVTs developed in the patients without chemoprophylaxis, and 4 (0.7%) proximal DVTs and 28 (5.2%) distal DVTs developed in the patients with chemoprophylaxis [[18]]. [Extracted from the article]

Is the incidence of VTE after knee and hip arthroplasty or hip fracture surgery lower in p... Recommendation Yes, the incidence of VTE after knee and hip arthroplasty or hip fracture surgery is lower in Asian than in Caucasian ethnicities. Background Postoperative venous thromboembolism (VTE) is a significant cause of morbidity and mortality in patients undergoing knee and hip arthroplasty and hip fracture surgery; however, VTE is considered potentially preventable with several modalities of prophylactic management [[1]]. Justification Since the VTE risk after knee and hip arthroplasty or hip fracture surgery in the Asian population is lower than that for Caucasians, the experts agreed that it is justifiable that the VTE prophylaxis protocol can be adjusted from the recommendations for Caucasian patients to suit an Asian patient's characteristics and economic conditions [[7], [28], [35]]. Does tranexamic acid (TXA) increase the risk of VTE after knee and hip arthroplasty or hi... Recommendation No, TXA does not increase VTE risk after knee and hip arthroplasty or hip fracture surgery in Asian patients. Hip fracture surgery includes both internal fixation and hip arthroplasty for treatment of hip fracture in adults, including femoral neck fracture, intertrochanteric fracture, and subtrochanteric fracture. [Extracted from the article]