Deep Vein Thrombosis Prophylaxis in Patients with Traumatic Brain Injury
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5470 |
Resumo: | Introduction: The risk of deep vein thrombosis is increased in patients with head trauma, but the prophylaxis against this event is confronted with the possible risk of worsening hemorrhagic injuries. In this article, we present an overview about deep vein thrombosis prophylaxis in patients with head trauma and we propose a practical protocol for clinical management of deep vein thrombosis prophylaxis.Material and Methods: We reviewed relevant papers cited in the Medline/PubMed, Cochrane, and Scielo databases from January 1998 to January 2014. Based on a search with the following search expression: “deep venous thrombosis and prophylaxis and traumatic brain injury”, we found 44 eligible articles. Twenty-three papers were selected using criteria as published in English or Portuguese, patients in acute phase of moderate and severe traumatic brain injury and noninvasive mechanical prophylaxis or chemistry.Results: Head trauma alone is a risk factor for deep vein thrombosis. The chance of deep vein thrombosis is 2.59 times higher in patients with head trauma. The prevalence of deep vein thrombosis and pulmonary embolism in patients who have suffered head trauma is 20% in the literature, reaching 30% in some studies.Discussion and Conclusion: Head trauma alone is a risk factor for deep vein thrombosis and pulmonary thromboembolism and the risks inherent in this disease requires methods of prevention for these complications. Clinical trials are needed to establish the efficacy of prophylaxis and the best time to start medication for deep vein thrombosis in patients with traumatic brain injury. |
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Deep Vein Thrombosis Prophylaxis in Patients with Traumatic Brain InjuryProfilaxia de Trombose Venosa Profunda em Doentes com Traumatismo CranioencefálicoBrain InjuriesPulmonary EmbolismVenous Thrombosis.Embolia PulmonarTraumatismos CranioencefálicosTrombose Venosa.Introduction: The risk of deep vein thrombosis is increased in patients with head trauma, but the prophylaxis against this event is confronted with the possible risk of worsening hemorrhagic injuries. In this article, we present an overview about deep vein thrombosis prophylaxis in patients with head trauma and we propose a practical protocol for clinical management of deep vein thrombosis prophylaxis.Material and Methods: We reviewed relevant papers cited in the Medline/PubMed, Cochrane, and Scielo databases from January 1998 to January 2014. Based on a search with the following search expression: “deep venous thrombosis and prophylaxis and traumatic brain injury”, we found 44 eligible articles. Twenty-three papers were selected using criteria as published in English or Portuguese, patients in acute phase of moderate and severe traumatic brain injury and noninvasive mechanical prophylaxis or chemistry.Results: Head trauma alone is a risk factor for deep vein thrombosis. The chance of deep vein thrombosis is 2.59 times higher in patients with head trauma. The prevalence of deep vein thrombosis and pulmonary embolism in patients who have suffered head trauma is 20% in the literature, reaching 30% in some studies.Discussion and Conclusion: Head trauma alone is a risk factor for deep vein thrombosis and pulmonary thromboembolism and the risks inherent in this disease requires methods of prevention for these complications. Clinical trials are needed to establish the efficacy of prophylaxis and the best time to start medication for deep vein thrombosis in patients with traumatic brain injury.Introdução: O risco de trombose venosa profunda encontra-se aumentado em doentes vítimas de traumatismo cranioencefálico, mas a profilaxia da trombose venosa profunda se confronta com o possível risco de piora de lesões hemorrágicas relacionados ao traumatismo cranioencefálico. Neste artigo apresentamos uma revisão crítica do tema e propomos um protocolo de profilaxia para estes doentes.Material e Métodos: Foi realizada uma pesquisa na base de dados Medline/PubMed, Cochrane, e Scielo de janeiro de 1998 a janeiro de 2014 com a expressão de busca “deep venous thrombosis and prophylaxis and traumatic brain injury”. Foram encontrados 44 artigos usando os termos MeSH definidos. Destes foram selecionados 23 artigos, usando como critérios: publicação em inglês ou português, fase aguda do traumatismo cranioencefálico moderado e grave, profilaxia mecânica não invasiva ou química.Resultados: O traumatismo cranioencefálico é um fator de risco para trombose venosa profunda e tromboembolismo pulmonar. A chance de trombose venosa profunda é 2,59 vezes maior em doentes com traumatismo cranioencefálico. A prevalência de trombose venosa profunda e embolia pulmonar em doentes que sofreram traumatismo cranioencefálico é de 20%, podendo atingir 30% dos doentes em alguns estudos.Discussão e Conclusão: As diversas formas de traumatismo de forma isolada constituem fator de risco para trombose venosa profunda e tromboembolismo pulmonar. Ensaios clínicos são necessários para estabelecer a eficácia da profilaxia e o melhor momento de iniciar medicação para trombose venosa profunda em doentes com traumatismo craniencefálico.Ordem dos Médicos2015-01-16info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5470oai:ojs.www.actamedicaportuguesa.com:article/5470Acta Médica Portuguesa; Vol. 28 No. 2 (2015): March-April; 250-255Acta Médica Portuguesa; Vol. 28 N.º 2 (2015): Março-Abril; 250-2551646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5470https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5470/4313Gomes da Silva, Vinícius TrindadeIglesio, RicardoSilva Paiva, WellingsonSiqueira, Mario GilbertoTeixeira, Manoel Jacobseninfo:eu-repo/semantics/openAccess2022-12-20T11:04:22Zoai:ojs.www.actamedicaportuguesa.com:article/5470Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:05.523386Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Deep Vein Thrombosis Prophylaxis in Patients with Traumatic Brain Injury Profilaxia de Trombose Venosa Profunda em Doentes com Traumatismo Cranioencefálico |
title |
Deep Vein Thrombosis Prophylaxis in Patients with Traumatic Brain Injury |
spellingShingle |
Deep Vein Thrombosis Prophylaxis in Patients with Traumatic Brain Injury Gomes da Silva, Vinícius Trindade Brain Injuries Pulmonary Embolism Venous Thrombosis. Embolia Pulmonar Traumatismos Cranioencefálicos Trombose Venosa. |
title_short |
Deep Vein Thrombosis Prophylaxis in Patients with Traumatic Brain Injury |
title_full |
Deep Vein Thrombosis Prophylaxis in Patients with Traumatic Brain Injury |
title_fullStr |
Deep Vein Thrombosis Prophylaxis in Patients with Traumatic Brain Injury |
title_full_unstemmed |
Deep Vein Thrombosis Prophylaxis in Patients with Traumatic Brain Injury |
title_sort |
Deep Vein Thrombosis Prophylaxis in Patients with Traumatic Brain Injury |
author |
Gomes da Silva, Vinícius Trindade |
author_facet |
Gomes da Silva, Vinícius Trindade Iglesio, Ricardo Silva Paiva, Wellingson Siqueira, Mario Gilberto Teixeira, Manoel Jacobsen |
author_role |
author |
author2 |
Iglesio, Ricardo Silva Paiva, Wellingson Siqueira, Mario Gilberto Teixeira, Manoel Jacobsen |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Gomes da Silva, Vinícius Trindade Iglesio, Ricardo Silva Paiva, Wellingson Siqueira, Mario Gilberto Teixeira, Manoel Jacobsen |
dc.subject.por.fl_str_mv |
Brain Injuries Pulmonary Embolism Venous Thrombosis. Embolia Pulmonar Traumatismos Cranioencefálicos Trombose Venosa. |
topic |
Brain Injuries Pulmonary Embolism Venous Thrombosis. Embolia Pulmonar Traumatismos Cranioencefálicos Trombose Venosa. |
description |
Introduction: The risk of deep vein thrombosis is increased in patients with head trauma, but the prophylaxis against this event is confronted with the possible risk of worsening hemorrhagic injuries. In this article, we present an overview about deep vein thrombosis prophylaxis in patients with head trauma and we propose a practical protocol for clinical management of deep vein thrombosis prophylaxis.Material and Methods: We reviewed relevant papers cited in the Medline/PubMed, Cochrane, and Scielo databases from January 1998 to January 2014. Based on a search with the following search expression: “deep venous thrombosis and prophylaxis and traumatic brain injury”, we found 44 eligible articles. Twenty-three papers were selected using criteria as published in English or Portuguese, patients in acute phase of moderate and severe traumatic brain injury and noninvasive mechanical prophylaxis or chemistry.Results: Head trauma alone is a risk factor for deep vein thrombosis. The chance of deep vein thrombosis is 2.59 times higher in patients with head trauma. The prevalence of deep vein thrombosis and pulmonary embolism in patients who have suffered head trauma is 20% in the literature, reaching 30% in some studies.Discussion and Conclusion: Head trauma alone is a risk factor for deep vein thrombosis and pulmonary thromboembolism and the risks inherent in this disease requires methods of prevention for these complications. Clinical trials are needed to establish the efficacy of prophylaxis and the best time to start medication for deep vein thrombosis in patients with traumatic brain injury. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-01-16 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5470 oai:ojs.www.actamedicaportuguesa.com:article/5470 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5470 |
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oai:ojs.www.actamedicaportuguesa.com:article/5470 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5470 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5470/4313 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 28 No. 2 (2015): March-April; 250-255 Acta Médica Portuguesa; Vol. 28 N.º 2 (2015): Março-Abril; 250-255 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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