Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic review

Detalhes bibliográficos
Autor(a) principal: Sardenberg,Trajano
Data de Publicação: 2017
Outros Autores: Deienno,Francisco Simões, Miranda,Raffaello de Freitas, Varanda,Denis, Cortopassi,Andréa Christina, Silvares,Paulo Roberto de Almeida
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Ortopedia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000400390
Resumo: ABSTRACT To assess, through a systematic literature review, whether or not it is necessary to suspend antithrombotic medications (warfarin, aspirin, and clopidogrel) to perform elective wrist and hand surgeries. The search for articles was performed using a combination of keywords in the databases available, without scientific design constraints, being selected series with five or more surgeries; the selected articles were analyzed regarding serious (need for surgical treatment) and mild complications (without surgery). Seven articles were retrieved and analyzed; 410 wrist and hand surgeries were performed in patients on warfarin or aspirin and clopidogrel, with three serious complications (0.7%) and 38 mild (9.2%); 2023 surgeries were performed in patients without use of antithrombotics, with zero serious and 18 (0.8%) minor complications. Patients using warfarin or oral antiplatelet (aspirin, clopidogrel, and aspirin associated with clopidogrel) need not suspend the medication to undergo wrist and hand surgery.
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spelling Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic reviewHand/surgeryAnticoagulantsWarfarinABSTRACT To assess, through a systematic literature review, whether or not it is necessary to suspend antithrombotic medications (warfarin, aspirin, and clopidogrel) to perform elective wrist and hand surgeries. The search for articles was performed using a combination of keywords in the databases available, without scientific design constraints, being selected series with five or more surgeries; the selected articles were analyzed regarding serious (need for surgical treatment) and mild complications (without surgery). Seven articles were retrieved and analyzed; 410 wrist and hand surgeries were performed in patients on warfarin or aspirin and clopidogrel, with three serious complications (0.7%) and 38 mild (9.2%); 2023 surgeries were performed in patients without use of antithrombotics, with zero serious and 18 (0.8%) minor complications. Patients using warfarin or oral antiplatelet (aspirin, clopidogrel, and aspirin associated with clopidogrel) need not suspend the medication to undergo wrist and hand surgery.Sociedade Brasileira de Ortopedia e Traumatologia2017-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000400390Revista Brasileira de Ortopedia v.52 n.4 2017reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2017.07.001info:eu-repo/semantics/openAccessSardenberg,TrajanoDeienno,Francisco SimõesMiranda,Raffaello de FreitasVaranda,DenisCortopassi,Andréa ChristinaSilvares,Paulo Roberto de Almeidaeng2017-10-03T00:00:00Zoai:scielo:S0102-36162017000400390Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2017-10-03T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false
dc.title.none.fl_str_mv Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic review
title Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic review
spellingShingle Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic review
Sardenberg,Trajano
Hand/surgery
Anticoagulants
Warfarin
title_short Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic review
title_full Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic review
title_fullStr Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic review
title_full_unstemmed Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic review
title_sort Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic review
author Sardenberg,Trajano
author_facet Sardenberg,Trajano
Deienno,Francisco Simões
Miranda,Raffaello de Freitas
Varanda,Denis
Cortopassi,Andréa Christina
Silvares,Paulo Roberto de Almeida
author_role author
author2 Deienno,Francisco Simões
Miranda,Raffaello de Freitas
Varanda,Denis
Cortopassi,Andréa Christina
Silvares,Paulo Roberto de Almeida
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Sardenberg,Trajano
Deienno,Francisco Simões
Miranda,Raffaello de Freitas
Varanda,Denis
Cortopassi,Andréa Christina
Silvares,Paulo Roberto de Almeida
dc.subject.por.fl_str_mv Hand/surgery
Anticoagulants
Warfarin
topic Hand/surgery
Anticoagulants
Warfarin
description ABSTRACT To assess, through a systematic literature review, whether or not it is necessary to suspend antithrombotic medications (warfarin, aspirin, and clopidogrel) to perform elective wrist and hand surgeries. The search for articles was performed using a combination of keywords in the databases available, without scientific design constraints, being selected series with five or more surgeries; the selected articles were analyzed regarding serious (need for surgical treatment) and mild complications (without surgery). Seven articles were retrieved and analyzed; 410 wrist and hand surgeries were performed in patients on warfarin or aspirin and clopidogrel, with three serious complications (0.7%) and 38 mild (9.2%); 2023 surgeries were performed in patients without use of antithrombotics, with zero serious and 18 (0.8%) minor complications. Patients using warfarin or oral antiplatelet (aspirin, clopidogrel, and aspirin associated with clopidogrel) need not suspend the medication to undergo wrist and hand surgery.
publishDate 2017
dc.date.none.fl_str_mv 2017-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000400390
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000400390
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.rboe.2017.07.001
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.source.none.fl_str_mv Revista Brasileira de Ortopedia v.52 n.4 2017
reponame:Revista Brasileira de Ortopedia (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
instacron:SBOT
instname_str Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
instacron_str SBOT
institution SBOT
reponame_str Revista Brasileira de Ortopedia (Online)
collection Revista Brasileira de Ortopedia (Online)
repository.name.fl_str_mv Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
repository.mail.fl_str_mv ||rbo@sbot.org.br
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