Respiratory Synchronized Versus Intermittent Pneumatic Compression in Prevention of Venous Thromboembolism After Total Joint Arthroplasty A Systematic Review and Meta-Analysis

被引：5

作者：

Elbuluk, Ameer M. ^{[1
]}

Kim, Kelvin Y. ^{[1
]}

Chen, Kevin K. ^{[1
]}

Anoushiravani, Afshin A. ^{[1
]}

Schwarzkopf, Ran ^{[1
]}

Iorio, Richard ^{[1
]}

机构：

[1] NYU, Hosp Joint Dis, Langone Med Ctr, Dept Orthopaed Surg, 301 East 17th St, New York, NY 10003 USA

来源：

ORTHOPEDIC CLINICS OF NORTH AMERICA | 2018年 / 49卷 / 02期

关键词：

Total joint arthroplasty; Venous thromboembolism; Deep venous thrombi; Pulmonary emboli; Thromboprophylaxis; Respiratory synchronized compression; Intermittent pneumatic compression devices; TOTAL HIP-ARTHROPLASTY; TOTAL KNEE ARTHROPLASTY; DEEP-VEIN THROMBOSIS; PULMONARY-EMBOLISM; AMERICAN-COLLEGE; PROPHYLAXIS; REPLACEMENT; THROMBOPROPHYLAXIS; READMISSION; COMPLICATIONS;

D O I：

10.1016/j.ocl.2017.11.001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The objective of this study was to evaluate the efficacy of respiratory synchronized compression devices (RSCDs) versus nonsynchronized intermittent pneumatic compression devices (NSIPCDs) in preventing venous thromboembolism (VTE) after total joint arthroplasty. A systematic literature review was conducted. Data regarding surgical procedure, deep vein thrombosis, pulmonary embolism, mortality, and adverse events were abstracted. Compared with control groups, the risk ratio of deep vein thrombosis development was 0.51 with NSIPCDs and 0.47 with RSCDs. This article demonstrates that RSCDs may be marginally more effective at preventing VTE events than NSIPCDs. Furthermore, the addition of mechanical prophylaxis to any chemoprophylactic regimen increases VTE prevention.

引用

页码：123 / +

页数：12

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