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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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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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.</description><identifier>ISSN: 1356-1294</identifier><identifier>EISSN: 1365-2753</identifier><identifier>DOI: 10.1111/j.1365-2753.2008.01081.x</identifier><identifier>PMID: 19674218</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Journal of evaluation in clinical practice, 2009-08, Vol.15 (4), p.668-674</ispartof><rights>2009 The Authors. Journal compilation © 2009 Blackwell Publishing Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4061-858c16d6f8bb739e44350e46742909f7853148db29047fbde4cea22daf5cfa23</citedby><cites>FETCH-LOGICAL-c4061-858c16d6f8bb739e44350e46742909f7853148db29047fbde4cea22daf5cfa23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2753.2008.01081.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2753.2008.01081.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19674218$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Unay, Koray</creatorcontrib><creatorcontrib>Akan, Kaya</creatorcontrib><creatorcontrib>Sener, Nadir</creatorcontrib><creatorcontrib>Cakir, Mustafa</creatorcontrib><creatorcontrib>Poyanli, Oguz</creatorcontrib><title>Evaluating the effectiveness of a deep-vein thrombosis prophylaxis protocol in orthopaedics and traumatology</title><title>Journal of evaluation in clinical practice</title><addtitle>J Eval Clin Pract</addtitle><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.</description><subject>Anticoagulants - administration & dosage</subject><subject>Anticoagulants - pharmacology</subject><subject>Anticoagulants - therapeutic use</subject><subject>Clinical Protocols</subject><subject>deep-vein thrombosis</subject><subject>Female</subject><subject>Heparin, Low-Molecular-Weight - administration & dosage</subject><subject>Heparin, Low-Molecular-Weight - pharmacology</subject><subject>Heparin, Low-Molecular-Weight - therapeutic use</subject><subject>Humans</subject><subject>major orthopaedic surgery</subject><subject>major orthopaedic trauma</subject><subject>Male</subject><subject>Orthopedics</subject><subject>Outcome Assessment (Health Care)</subject><subject>thromboprophylaxis</subject><subject>Turkey</subject><subject>Ultrasonography</subject><subject>venous thromboembolism</subject><subject>Venous Thrombosis - diagnostic imaging</subject><subject>Venous Thrombosis - prevention & control</subject><subject>Young Adult</subject><issn>1356-1294</issn><issn>1365-2753</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMFu1DAQhi1ERUvhFZBvnBLs2I6dAweotqVo1SK0ElIvlpOMu1mSONjJsvv2dZpVueKLx_L3z4w-hDAlKY3n0y6lLBdJJgVLM0JUSihRND28QhcvH6_nWuQJzQp-jt6GsCOEMiLkG3ROi1zyjKoL1K72pp3M2PSPeNwCBmuhGps99BACdhYbXAMMyR6aPgLedaULTcCDd8P22JrDUo-uci2OiPPj1g0G6qYK2PQ1Hr2ZOjO61j0e36Eza9oA70_3JdpcrzZX35L1_c3t1Zd1UnGS00QJVdG8zq0qS8kK4JwJAnxeuSCFlUowylVdxheXtqyBV2CyrDZWVNZk7BJ9XNrGxf5MEEbdNaGCtjU9uCloyViRC0V4JNVCVt6F4MHqwTed8UdNiZ5N652ehepZqJ5N62fT-hCjH05DprKD-l_wpDYCnxfgb9PC8b8b6--rH3MV88mSb8IIh5e88b91LpkU-tfdjf5KHvjD-udab9gTBESeDg</recordid><startdate>200908</startdate><enddate>200908</enddate><creator>Unay, Koray</creator><creator>Akan, Kaya</creator><creator>Sener, Nadir</creator><creator>Cakir, Mustafa</creator><creator>Poyanli, Oguz</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200908</creationdate><title>Evaluating the effectiveness of a deep-vein thrombosis prophylaxis protocol in orthopaedics and traumatology</title><author>Unay, Koray ; Akan, Kaya ; Sener, Nadir ; Cakir, Mustafa ; Poyanli, Oguz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4061-858c16d6f8bb739e44350e46742909f7853148db29047fbde4cea22daf5cfa23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Anticoagulants - administration & dosage</topic><topic>Anticoagulants - pharmacology</topic><topic>Anticoagulants - therapeutic use</topic><topic>Clinical Protocols</topic><topic>deep-vein thrombosis</topic><topic>Female</topic><topic>Heparin, Low-Molecular-Weight - administration & dosage</topic><topic>Heparin, Low-Molecular-Weight - pharmacology</topic><topic>Heparin, Low-Molecular-Weight - therapeutic use</topic><topic>Humans</topic><topic>major orthopaedic surgery</topic><topic>major orthopaedic trauma</topic><topic>Male</topic><topic>Orthopedics</topic><topic>Outcome Assessment (Health Care)</topic><topic>thromboprophylaxis</topic><topic>Turkey</topic><topic>Ultrasonography</topic><topic>venous thromboembolism</topic><topic>Venous Thrombosis - diagnostic imaging</topic><topic>Venous Thrombosis - prevention & control</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Unay, Koray</creatorcontrib><creatorcontrib>Akan, Kaya</creatorcontrib><creatorcontrib>Sener, Nadir</creatorcontrib><creatorcontrib>Cakir, Mustafa</creatorcontrib><creatorcontrib>Poyanli, Oguz</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of evaluation in clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Unay, Koray</au><au>Akan, Kaya</au><au>Sener, Nadir</au><au>Cakir, Mustafa</au><au>Poyanli, Oguz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating the effectiveness of a deep-vein thrombosis prophylaxis protocol in orthopaedics and traumatology</atitle><jtitle>Journal of evaluation in clinical practice</jtitle><addtitle>J Eval Clin Pract</addtitle><date>2009-08</date><risdate>2009</risdate><volume>15</volume><issue>4</issue><spage>668</spage><epage>674</epage><pages>668-674</pages><issn>1356-1294</issn><eissn>1365-2753</eissn><abstract>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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19674218</pmid><doi>10.1111/j.1365-2753.2008.01081.x</doi><tpages>7</tpages></addata></record> |
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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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