Cost-Effectiveness of Venous Thromboembolism Prophylaxis With a New Mobile Device After Total Hip Arthroplasty

2012 ◽  
Vol 27 (8) ◽  
pp. 1513-1517.e1 ◽  
2018 ◽  
Vol 26 (2) ◽  
pp. 86-90
Author(s):  
RAUL CARNEIRO LINS ◽  
EPITÁCIO LEITE ROLIM FILHO ◽  
FERNANDO DE SANTA CRUZ OLIVEIRA ◽  
SAULO MONTEIRO DOS SANTOS ◽  
TALE LUCAS VIEIRA ROLIM ◽  
...  

ABSTRACT Objectives: To evaluate the effectiveness of aspirin as prophylaxis for deep venous thrombosis (DVT) in patients undergoing total hip arthroplasty (THA), and to analyze the incidence of bleeding during the post-operative period. Methods: This prospective study carried out in 2017 consisted of 37 patients indicated for THA with high risk for DVT. Immediately after the procedure, aspirin, elastic compression socks and early deambulation were initiated. Doppler ultrasound was performed in the legs 6 days and 6 weeks post-procedure to rule out venous thromboembolism. Hematometric variables and clinical criteria were used to detect bleeding. Results: The incidence of VTE (venous thromboembolism) 6 days post-procedure was 21.6%. By 6 weeks post-procedure, it dropped to 8.1%, (p = 0.102). Only 2.7% were diagnosed with VTE, 6 days and also 6 weeks post-procedure. Within the immediate postoperative period, hemoglobin was lower (p < 0.001), in contrast to 6 weeks after surgery, when it returned to baseline levels. Conclusion: Aspirin was an effective chemical prophylaxis for venous thromboembolism in high-risk patients who underwent THA. There was no clinical record of postoperative bleeding and hematometric levels suggested that there was no chronic bleeding. Level of Evidence II; Prospective study.


2002 ◽  
Vol 17 (3-4) ◽  
pp. 126-133 ◽  
Author(s):  
J. A. Caprini ◽  
J. I. Arcelus ◽  
J. C. Kudrna ◽  
L. R. Sehgal ◽  
M. Oyslender ◽  
...  

2013 ◽  
Vol 20 (3) ◽  
pp. 36-42
Author(s):  
A. F Lazarev

Modern data on the rate of venous thromboembolism development after orthopaedic surgeries as well as the results of international prospective ETHOS study (17 countries including Russia, 161 centers) are presented. The aim of the study was to assess post-operative venous thromboembolism prophylaxis prescribed and received in patients after high-risk orthopaedic surgeries (total hip arthroplasty, femur osteosynthesis, total knee arthroplasty) as compared with the 2004 American College of Chest Physicians (ACCP) guidelines. Peculiarities of thrombosis prophylaxis in Russia centers are shown.


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