Venous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee Arthroplasty
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | http://hdl.handle.net/1843/61914 |
Resumo: | 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. |
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2023-12-12T00:18:40Z2023-12-12T00:18:40Z202055442643110.1055/s-0039-1698798.01023616http://hdl.handle.net/1843/61914Objective 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.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 ¼ 1.115) e após (n ¼ 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 ¼ 0,211). Houve um aumento nos casos de embolia pulmonar (EP) (0,2% versus 0,8%; p ¼ 0,049).Conclusão Apesar da implementação do protocolo de prevenção, não houve reduçãonos eventos estudados. A pequena incidência global faz com que novos estudos, com séries maiores, sejam necessários para confirmar ou descartar esses achadoengUniversidade Federal de Minas GeraisUFMGBrasilMED - DEPARTAMENTO DE APARELHO LOCOMOTORRevista Brasileira de OrtopediaThromboembolismArthroplasty, Replacement, KneeRisk Factorsthromboembolismartroplastia do joelhoFatores de riscoVenous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee ArthroplastyProtocolo de prevenção do tromboembolismo venoso: experiência de 2.000 casos em artroplastia total de joelhoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/ 10.1055/s-0039-1698798Lucio Honorio de Carvalho JuniorMatheus de Almeida CorreaMatheus Rezende LimaCamila Barreto SilvestreVictor Ferreira AlmeidaEduardo Frois Temponiapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/61914/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALVenous Thromboembolism Prevention Protocol pdfa.pdfVenous Thromboembolism Prevention Protocol pdfa.pdfapplication/pdf210314https://repositorio.ufmg.br/bitstream/1843/61914/2/Venous%20Thromboembolism%20Prevention%20Protocol%20pdfa.pdf7d6c63ff8bcf1159124abf01f2c61706MD521843/619142023-12-12 17:09:41.152oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-12-12T20:09:41Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Venous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee Arthroplasty |
dc.title.alternative.pt_BR.fl_str_mv |
Protocolo de prevenção do tromboembolismo venoso: experiência de 2.000 casos em artroplastia total de joelho |
title |
Venous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee Arthroplasty |
spellingShingle |
Venous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee Arthroplasty Lucio Honorio de Carvalho Junior thromboembolism artroplastia do joelho Fatores de risco Thromboembolism Arthroplasty, Replacement, Knee Risk Factors |
title_short |
Venous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee Arthroplasty |
title_full |
Venous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee Arthroplasty |
title_fullStr |
Venous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee Arthroplasty |
title_full_unstemmed |
Venous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee Arthroplasty |
title_sort |
Venous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee Arthroplasty |
author |
Lucio Honorio de Carvalho Junior |
author_facet |
Lucio Honorio de Carvalho Junior Matheus de Almeida Correa Matheus Rezende Lima Camila Barreto Silvestre Victor Ferreira Almeida Eduardo Frois Temponi |
author_role |
author |
author2 |
Matheus de Almeida Correa Matheus Rezende Lima Camila Barreto Silvestre Victor Ferreira Almeida Eduardo Frois Temponi |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Lucio Honorio de Carvalho Junior Matheus de Almeida Correa Matheus Rezende Lima Camila Barreto Silvestre Victor Ferreira Almeida Eduardo Frois Temponi |
dc.subject.por.fl_str_mv |
thromboembolism artroplastia do joelho Fatores de risco |
topic |
thromboembolism artroplastia do joelho Fatores de risco Thromboembolism Arthroplasty, Replacement, Knee Risk Factors |
dc.subject.other.pt_BR.fl_str_mv |
Thromboembolism Arthroplasty, Replacement, Knee Risk Factors |
description |
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. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020 |
dc.date.accessioned.fl_str_mv |
2023-12-12T00:18:40Z |
dc.date.available.fl_str_mv |
2023-12-12T00:18:40Z |
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info:eu-repo/semantics/article |
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article |
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http://hdl.handle.net/1843/61914 |
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10.1055/s-0039-1698798. |
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01023616 |
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eng |
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eng |
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Revista Brasileira de Ortopedia |
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openAccess |
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Universidade Federal de Minas Gerais |
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Brasil |
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MED - DEPARTAMENTO DE APARELHO LOCOMOTOR |
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Universidade Federal de Minas Gerais |
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