Archives of Trauma Research

Archives of Trauma Research

Deep vein thrombosis: A Walker and Avant concept analysis

Document Type : Original Article

Authors
1 Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
2 Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran AND Department of Neurosurgery, Kashan University of Medical Sciences, Kashan, Iran
3 Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, the Netherlands AND Zonnehuisgroep Amstel land, Amstelveen, the Netherlands AND Department of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium AND Tranzo, Tilburg University, Tilburg, the Netherlands
4 Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran
5 Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
6 Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran AND Department of Community Medicine, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran
Abstract
Background: Deep vein thrombosis (DVT) is a serious condition, particularly prevalent among hip fracture patients, with high morbidity and mortality.
Objectives: This study applied the Walker and Avant model to clarify the concept of DVT and enhance clinical understanding.
Methods: A systematic concept analysis was undertaken in accordance with the Walker and Avant framework, which delineates eight essential steps from concept selection to the identification of empirical referents. The literature review was conducted using the PRISMA methodology, encompassing a comprehensive search across multiple databases, including PubMed and Google Scholar, covering the period from 2019 to 2023. Studies were included based on their relevance to DVT, publication in English, and the presence of pertinent keywords within titles and abstracts.
Results: The analysis confirmed the high incidence of DVT following surgery in patients with hip fractures and identified key risk factors, including immobility and inadequate post-operative care. Prophylactic interventions were shown to reduce the incidence of DVT, underscoring the critical importance of preventive strategies in clinical practice.
Conclusion: DVT presents a major postoperative risk, especially in orthopedic patients. This analysis outlines its pathophysiology, key risk factors, and evidence-based strategies to enhance prevention and perioperative care, guiding clinical teams to reduce its incidence and improve outcomes.
Keywords

Volume 14, Issue 4
Autumn 2025
Pages 227-233

  • Receive Date 07 August 2025
  • Revise Date 06 October 2025
  • Accept Date 06 October 2025