Venous Thromboembolism Management by American Association of Hip and Knee Surgeons

被引：42

作者：

Markel, David C. ^{[1
,2
,4
]}

York, Sally ^{[3
]}

Liston, Michael J., Jr. ^{[4
]}

Flynn, Jeffrey C. ^{[1
,2
]}

Barnes, C. Lowry ^{[5
]}

Davis, Charles M., III ^{[6
]}

机构：

[1] Providence Hosp, Dept Orthopaed Surg, Southfield, MI 48037 USA

[2] Med Ctr, Southfield, MI USA

[3] NW Orthopaed Inst, Tacoma, WA USA

[4] Providence Hosp, Orthopaed Residency Program, Detroit Med Ctr, Detroit, MI USA

[5] Arkansas Specialty Orthopaed, Fdn Musculoskeletal Res & Educ, Little Rock, AR USA

[6] Penn State Coll Med, Milton S Hershey Med Ctr, Dept Orthoped Surg & Rehabil, Hershey, PA USA

来源：

JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 01期

关键词：

venous thromboembolism; total hip arthroplasty; total knee arthroplasty; survey; American Association of Hip and Knee Surgeons; treatment; ARTHROPLASTY; PREVENTION;

D O I：

10.1016/j.arth.2009.07.021

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：

A 2008 survey of American Association of Hip and Knee Surgeons membership explored current venous thromboembolism (VTE) protocols for lower-extremity total joint surgery. Fifty-three percent reported a change in VTE-related practices in the last 5 years. More than 70% reported that their primary hospital now mandates VTE prophylaxis. Although 74% of their primary hospitals recognized the American College of Chest Physicians guidelines, 68% of surgeons felt the American Academy of Orthopaedic Surgeons guidelines were more relevant to their practice. Respondents believe low molecular weight heparin to be the most efficacious but aspirin to be the easiest to use and has the lowest risks of bleeding and wound drainage. Warfarin was the most used in hospital prophylaxis, and 90% of respondents targeted an international normalized ratio of 1.6 to 2.5. Practice patterns continue to evolve, and there remains no consensus on specific treatment protocols or preferences.

引用

页码：3 / 9

页数：7

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