Evaluating the effectiveness of a deep-vein thrombosis prophylaxis protocol in orthopaedics and traumatology

Rationale, aims and objectives  To evaluate the effectiveness of the deep‐vein thrombosis (DVT) prophylaxis protocol for adult patients in a general orthopaedics and traumatology clinic. Method  We followed the DVT prophylaxis protocol in 1326 (776 female, 550 male) of 2114 adult patients admitted t...

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Veröffentlicht in:Journal of evaluation in clinical practice 2009-08, Vol.15 (4), p.668-674
Hauptverfasser: Unay, Koray, Akan, Kaya, Sener, Nadir, Cakir, Mustafa, Poyanli, Oguz
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container_issue 4
container_start_page 668
container_title Journal of evaluation in clinical practice
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creator Unay, Koray
Akan, Kaya
Sener, Nadir
Cakir, Mustafa
Poyanli, Oguz
description Rationale, aims and objectives  To evaluate the effectiveness of the deep‐vein thrombosis (DVT) prophylaxis protocol for adult patients in a general orthopaedics and traumatology clinic. Method  We followed the DVT prophylaxis protocol in 1326 (776 female, 550 male) of 2114 adult patients admitted to the Department of Orthopaedics and Traumatology in Goztepe Research and Training Hospital. They were followed for symptomatic DVT and possible complications of low‐molecular‐weight heparin (LMWH) therapy. A Doppler ultrasonography (US) was performed when DVT was suspected. The medical information treatment protocols of DVT patients were recorded. Results  Doppler US was performed in 58 patients with suspected DVT. Six of these patients were diagnosed with DVT. The side effects of LMWH were upper gastrointestinal bleeding (0.5%), widespread ecchymosis of the extremities (1.9%) and heparin‐induced thrombocytopenia (0.16%). Conclusion  Symptomatic DVT occurrences were similar to those in medical literature; however, there were fewer side effects of LMWH than reported in literature.
doi_str_mv 10.1111/j.1365-2753.2008.01081.x
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subjects Anticoagulants - administration & dosage
Anticoagulants - pharmacology
Anticoagulants - therapeutic use
Clinical Protocols
deep-vein thrombosis
Female
Heparin, Low-Molecular-Weight - administration & dosage
Heparin, Low-Molecular-Weight - pharmacology
Heparin, Low-Molecular-Weight - therapeutic use
Humans
major orthopaedic surgery
major orthopaedic trauma
Male
Orthopedics
Outcome Assessment (Health Care)
thromboprophylaxis
Turkey
Ultrasonography
venous thromboembolism
Venous Thrombosis - diagnostic imaging
Venous Thrombosis - prevention & control
Young Adult
title Evaluating the effectiveness of a deep-vein thrombosis prophylaxis protocol in orthopaedics and traumatology
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