1) La descarga del recurso depende de la página de origen
2) Para poder descargar el recurso, es necesario ser usuario registrado en Universia


Opción 1: Descargar recurso

Detalles del recurso

Descripción

Real-life data on post-discharge venous thromboembolism (VTE) prophylaxis practices and treatments are lacking. We assessed post-operative VTE prophylaxis prescribed and received in a prospective registry, compared with the 2004 American College of Chest Physicians (ACCP) guidelines in high-risk orthopaedic surgery patients. Consecutive patients undergoing total hip arthroplasty (THA), hip fracture surgery (HFS), or knee arthroplasty (KA) were enrolled at discharge from 161 centres in 17 European countries if they had received in-hospital VTE prophylaxis that was considered in accordance with the ACCP guidelines by the treating physician. Data on prescribed and actual prophylaxis were obtained from hospital charts and patient post-discharge diaries. Post-operative prophylaxis prescribed and actual prophylaxis received were considered adherent or adequate, respectively, if recommended therapies were used for ≥28 days (HFS and THA) or ≥10 days (KA). Among 4,388 patients, 69.9% were prescribed ACCP-adherent VTE prophylaxis (THA: 1,411/2,217 [63.6%]; HFS: 701/1,112 [63.0%]; KA: 955/1,059 [90.2%]). Actual prophylaxis received was described in 3,939 patients with an available diary after discharge (non-evaluability rate of 10%). Mean actual durations of pharmacological prophylaxis from surgery were: 28.4 ± 13.7 (THA), 29.3 ± 13.9 (HFS), and 28.7 ± 14.1 days (KA). ACCP-adequate VTE prophylaxis was received by 66.5% of patients (60.9% THA, 55.4% HFS, and 88.7% KA). Prophylaxis inadequacies were mainly due to inadequate prescription, non-recommended prophylaxis prescription at discharge, or too short prophylaxis prescribed. In high-risk orthopaedic surgery patients with hospital-initiated prophylaxis, there is a gap between ACCP recommendations, prescribed and actual prophylaxis received, mainly due to inadequate prescription at discharge.

Pertenece a

Repositório do Hospital Prof. Doutor Fernando Fonseca  

Autor(es)

Bergqvist, D -  Arcelus, J -  Felicíssimo, P -  ETHOS investigators - 

Id.: 56504635

Idioma: eng  - 

Versión: 1.0

Estado: Final

Palabras claveVenous thromboembolism - 

Tipo de recurso: article  - 

Tipo de Interactividad: Expositivo

Nivel de Interactividad: muy bajo

Audiencia: Estudiante  -  Profesor  -  Autor  - 

Estructura: Atomic

Coste: no

Copyright: sí

: openAccess

Requerimientos técnicos:  Browser: Any - 

Fecha de contribución: 25-abr-2015

Contacto:

Localización:
* Thromb Haemost. 2012 Feb;107(2):270-9
* 0340-6245

Otros recursos del mismo autor(es)

  1. Venous thromboembolism risk and prophylaxis in the Portuguese hospital care setting: The ARTE study. INTRODUCTION: Venous thromboembolism (VTE) is a relatively common complication during hospital stay ...
  2. Percurso clínico e programa de alta nos doentes com fratura da extremidade proximal do fémur As fraturas da extremidade proximal do fémur são um desafio médico, ortopédico, social, familiar, ec...
  3. Associação entre fraturas atípicas do fémur e o uso de bifosfonatos: revisão da literatura ntrodução: Os bifosfonatos são a principal classe farmacológica usada na terapia anti-reabsortiva pa...
  4. Sarcopenia
  5. Large foot schwannoma with bone invasion - a case report A rare case of a large foot schwannoma with an intraosseous component is presented. Due to suspicion...

Otros recursos de la mismacolección

  1. Chronic Recurrent Multifocal Osteomyelitis: A Case Report with Atypical Presentation. NTRODUCTION: Chronic recurrent multifocal osteomyelitis (CRMO) is a rare autoinflammatory condition....
  2. Venous thromboembolism risk and prophylaxis in the Portuguese hospital care setting: The ARTE study. INTRODUCTION: Venous thromboembolism (VTE) is a relatively common complication during hospital stay ...
  3. Percurso clínico e programa de alta nos doentes com fratura da extremidade proximal do fémur As fraturas da extremidade proximal do fémur são um desafio médico, ortopédico, social, familiar, ec...
  4. Associação entre fraturas atípicas do fémur e o uso de bifosfonatos: revisão da literatura ntrodução: Os bifosfonatos são a principal classe farmacológica usada na terapia anti-reabsortiva pa...
  5. Programa de Aumento da Qualidade no Tratamento das Fraturas da Anca (PAQ-ANCA)” N/A

Aviso de cookies: Usamos cookies propias y de terceros para mejorar nuestros servicios, para análisis estadístico y para mostrarle publicidad. Si continua navegando consideramos que acepta su uso en los términos establecidos en la Política de cookies.