Venous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee Arthroplasty

• Autor(a) principal: Lucio Honorio de Carvalho Junior
• Data de Publicação: 2020
• Outros Autores: Matheus de Almeida Correa, Matheus Rezende Lima, Camila Barreto Silvestre, Victor Ferreira Almeida, Eduardo Frois Temponi
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: http://hdl.handle.net/1843/61914
• topic: thromboembolism; artroplastia do joelho; Fatores de risco; Thromboembolism; Arthroplasty, Replacement, Knee; Risk Factors

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 ¼ 1,115) and after (n¼ 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 ¼ 0.211). There was an increase in cases of pulmonary embolism (PE) (0.2% versus 0.8% p ¼ 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 withlarger series necessary to confirm or rule out these findings.