Present Practice of Thrombosis Prophylaxis of Radical Prostatectomy in a European Country: A Hungarian Multicenter Study

Venous thromboembolism is a possible fatal complication after pelvic surgery. There is a lack of trials assessing the effect of prophylactic measures in urology. The aim of the study was to evaluate the practice of thrombosis prophylaxis in a Central European country. A questionnaire of performed ra...

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Veröffentlicht in:Urologia internationalis 2014-01, Vol.92 (3), p.289-293
Hauptverfasser: Benyo, Matyas, Harsfalvi, Jolan, Pfliegler, Gyorgy, Molnar, Zsuzsanna, Muranyi, Mihaly, Jozsa, Tamas, Flasko, Tibor
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container_end_page 293
container_issue 3
container_start_page 289
container_title Urologia internationalis
container_volume 92
creator Benyo, Matyas
Harsfalvi, Jolan
Pfliegler, Gyorgy
Molnar, Zsuzsanna
Muranyi, Mihaly
Jozsa, Tamas
Flasko, Tibor
description Venous thromboembolism is a possible fatal complication after pelvic surgery. There is a lack of trials assessing the effect of prophylactic measures in urology. The aim of the study was to evaluate the practice of thrombosis prophylaxis in a Central European country. A questionnaire of performed radical prostatectomies, way of thrombosis prophylaxis and number of experienced thrombotic events was posted to all departments of urology in Hungary. With a response rate of 59%, 506 radical prostatectomies were reported. Low molecular weight heparin was administered by 100% of the departments. Graduated support stockings were applied by 37% of the patients. Early mobilization was the most common form of mechanic prophylaxis (57%). Thrombotic events were experienced in 1.4%, 0.2% were fatal. The thrombosis prophylaxis of patients undergoing radical prostatectomy is not unified. Due to the potential mortality of thrombotic complications it should be evaluated and prophylaxis should be recommended in urological guidelines.
doi_str_mv 10.1159/000353918
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source MEDLINE; Karger Journals Complete
subjects Early Ambulation
Fibrinolytic Agents - administration & dosage
Health Care Surveys
Heparin, Low-Molecular-Weight - administration & dosage
Humans
Hungary
Male
Original Paper
Practice Patterns, Physicians
Prostatectomy - adverse effects
Prostatectomy - mortality
Stockings, Compression
Surveys and Questionnaires
Time Factors
Treatment Outcome
Venous Thromboembolism - etiology
Venous Thromboembolism - mortality
Venous Thromboembolism - prevention & control
title Present Practice of Thrombosis Prophylaxis of Radical Prostatectomy in a European Country: A Hungarian Multicenter Study
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