Optimization of prophylaxis of hypercoagulation complications in oncological surgery

The authors investigate the results of prophylaxis of venous thromboembolic complications (VTC) during 24 years in onco- logical surgery. The multicentric study shows that common frequency of occurrence of such VTC was reduced due to period of routine prophylaxis of VTC to 3.4%. The strategy of acti...

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Veröffentlicht in:	Vestnik hirurgii im. I.I. Grekova 2014, Vol.173 (5), p.12-15
Hauptverfasser:	Karsanov, A M, Maskin, S S, Kul'chiev, A A, Karsanova, F D, Karaev, T R, Mil'dzikhov, G K
Format:	Artikel
Sprache:	rus
Schlagworte:	Aged Anticoagulants - therapeutic use Case-Control Studies Chemoprevention - methods Chemoprevention - trends Female Humans Male Middle Aged Neoplasms - surgery Organizational Innovation Postoperative Complications - epidemiology Postoperative Complications - prevention & control Preventive Health Services - methods Preventive Health Services - organization & administration Quality Improvement - statistics & numerical data Quality Improvement - trends Retrospective Studies Risk Assessment Risk Factors Russia - epidemiology Surgical Procedures, Operative - adverse effects Venous Thromboembolism - epidemiology Venous Thromboembolism - etiology Venous Thromboembolism - prevention & control
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Zusammenfassung:	The authors investigate the results of prophylaxis of venous thromboembolic complications (VTC) during 24 years in onco- logical surgery. The multicentric study shows that common frequency of occurrence of such VTC was reduced due to period of routine prophylaxis of VTC to 3.4%. The strategy of active revision and escalation of preventive measures in the third period of study in comparison with the second period resulted in the decrease of VTC. Patients with moderate risk degree had the results from 3.2% to 1%, patients with high risk degree moved from 4.1% to 13%. The fatal thromboembolism of the lung artery was 0.1%.
ISSN:	0042-4625