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Venous Thromboembolism Prevention Protocol Experience of 2000 Cases in Total Knee Arthroplasty* / Protocolo de prevenção do tromboembolismo venoso Experiência de 2000 casos em artroplastia total de joelho*
Carvalho Júnior, Lúcio Honório de; Correa, Matheus de Almeida; Lima, Matheus Rezende; Silvestre, Camila Barreto; Almeida, Victor Ferreira; Temponi, Eduardo Frois.
  • Carvalho Júnior, Lúcio Honório de; Orthopaedic and Traumatology Service. Shoulder Group. Belo Horizonte. BR
  • Correa, Matheus de Almeida; Orthopaedic and Traumatology Service. Shoulder Group. Belo Horizonte. BR
  • Lima, Matheus Rezende; Pontifícia Universidade Católica. Department of Medicine. Belo Horizonte. BR
  • Silvestre, Camila Barreto; Pontifícia Universidade Católica. Department of Medicine. Belo Horizonte. BR
  • Almeida, Victor Ferreira; Pontifícia Universidade Católica. Department of Medicine. Belo Horizonte. BR
  • Temponi, Eduardo Frois; Orthopaedic and Traumatology Service. Shoulder Group. Belo Horizonte. BR
Rev. bras. ortop ; 55(4): 426-431, Jul.-Aug. 2020. tab, graf
Article in English | LILACS | ID: biblio-1138054
ABSTRACT
Abstract Objective The objective of the present study is to evaluate the impact evaluate the impact of an institutional protocol on a tertiary hospital for the prevention of venous thromboembolism in 2005 patients submitted to primary total knee arthroplasty (TKA). Methods Data from medical records of patients submitted TKA before (n= 1,115) and after (n= 890) the implementation of the institutional protocol, totaling 2,005 patients, were retrospectively reported. Demographics, comorbidities, and outcomes were analyzed. Results There was no significant change in the cases of deep venous thrombosis (DVT) (1.6% versus 2.4%; p= 0.211). There was an increase in cases of pulmonary embolism (PE) (0.2% versus 0.8% p= 0.049). Conclusion Despite the implementation of the prevention protocol, no reduction in the studied events was observed. The small global incidence makes further studies with larger series necessary to confirm or rule out these findings.
RESUMO
Resumo Objetivo O objetivo do presente estudo é avaliar o impacto de um protocolo institucional em um hospital terciário na prevenção do tromboembolismo venoso em 2.005 pacientes submetidos a artroplastia total primária de joelho. Métodos Os dados dos prontuários de pacientes submetidos a artroplastia total do joelho antes (n= 1.115) e após (n= 890) a implantação do protocolo institucional, totalizando 2.005 pacientes, foram relatados retrospectivamente. Dados demográficos, comorbidades e desfechos foram analisados. Resultados Não houve alteração significativa nos casos de trombose venosa profunda (TVP) (1,6% versus 2,4%; p= 0,211). Houve um aumento nos casos de embolia pulmonar (EP) (0,2% versus 0,8%; p= 0,049). Conclusão Apesar da implementação do protocolo de prevenção, não houve redução nos eventos estudados. A pequena incidência global faz com que novos estudos, com séries maiores, sejam necessários para confirmar ou descartar esses achados.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Thromboembolism / Medical Records / Incidence / Surveys and Questionnaires / Risk Factors / Arthroplasty, Replacement / Venous Thrombosis / Venous Thromboembolism / Knee Type of study: Etiology study / Practice guideline / Incidence study / Prognostic study / Risk factors Limits: Humans Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Orthopaedic and Traumatology Service/BR / Pontifícia Universidade Católica/BR

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Full text: Available Index: LILACS (Americas) Main subject: Thromboembolism / Medical Records / Incidence / Surveys and Questionnaires / Risk Factors / Arthroplasty, Replacement / Venous Thrombosis / Venous Thromboembolism / Knee Type of study: Etiology study / Practice guideline / Incidence study / Prognostic study / Risk factors Limits: Humans Language: English Journal: Rev. bras. ortop Journal subject: Orthopedics Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Orthopaedic and Traumatology Service/BR / Pontifícia Universidade Católica/BR