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: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.rboe.2017.07.001
http://hdl.handle.net/11449/157586
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 reviewCirurgia da mão e do punho sem suspender varfarina ou antiplaquetários orais - Revisão sistemáticaHand/surgeryAnticoagulantsWarfarinMão/cirurgiaAnticoagulantesVarfarinaABSTRACT 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.RESUMO Avaliar, por meio de revisão sistemática da literatura, se há ou não necessidade de suspender medicamentos antitrombóticos (varfarina, AAS e clopidogrel) para a realização de procedimentos eletivos de cirurgia do punho e da mão. A busca de artigos foi feita por meio da combinação de palavras-chave nas bases de dados disponíveis, sem restrições de desenho científico, sendo selecionadas séries com cinco ou mais cirurgias; os artigos selecionados foram analisados em relação às complicações graves (necessidade de tratamento cirúrgico) e leves (sem necessidade de tratamento cirúrgico). Sete artigos foram encontrados e analisados; 410 cirurgias do punho e da mão foram feitas em pacientes em uso de varfarina ou AAS e clopidogrel e observou três complicações graves (0,7%) e 38 leves (9,2%); 2.023 cirurgias foram feitas em pacientes sem uso dos antitrombóticos, apresentaram zero complicações graves e 18 leves (0,8%). Pacientes em uso de varfarina ou antiplaquetários orais (AAS, clopidogrel e AAS associado a clopidogrel) não necessitam suspender a medicação para ser submetidos a cirurgias do punho e da mão.Universidade Estadual Paulista Faculdade de Medicina de BotucatuUniversidade Estadual Paulista Faculdade de Medicina de BotucatuSociedade Brasileira de Ortopedia e TraumatologiaUniversidade Estadual Paulista (Unesp)Sardenberg, TrajanoDeienno, Francisco SimõesMiranda, Raffaello De FreitasVaranda, DenisCortopassi, Andréa ChristinaSilvares, Paulo Roberto De Almeida2018-11-12T17:26:03Z2018-11-12T17:26:03Z2017-08-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article390-395application/pdfhttp://dx.doi.org/10.1016/j.rboe.2017.07.001Revista Brasileira de Ortopedia. Sociedade Brasileira de Ortopedia e Traumatologia, v. 52, n. 4, p. 390-395, 2017.0102-3616http://hdl.handle.net/11449/15758610.1016/j.rboe.2017.07.001S0102-36162017000400390S0102-36162017000400390.pdf9733983545921495SciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista Brasileira de Ortopedia0,319info:eu-repo/semantics/openAccess2023-12-19T06:21:22Zoai:repositorio.unesp.br:11449/157586Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-19T06:21:22Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic review
Cirurgia da mão e do punho sem suspender varfarina ou antiplaquetários orais - Revisão sistemática
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
Mão/cirurgia
Anticoagulantes
Varfarina
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.none.fl_str_mv Universidade Estadual Paulista (Unesp)
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
Mão/cirurgia
Anticoagulantes
Varfarina
topic Hand/surgery
Anticoagulants
Warfarin
Mão/cirurgia
Anticoagulantes
Varfarina
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
2018-11-12T17:26:03Z
2018-11-12T17:26:03Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.rboe.2017.07.001
Revista Brasileira de Ortopedia. Sociedade Brasileira de Ortopedia e Traumatologia, v. 52, n. 4, p. 390-395, 2017.
0102-3616
http://hdl.handle.net/11449/157586
10.1016/j.rboe.2017.07.001
S0102-36162017000400390
S0102-36162017000400390.pdf
9733983545921495
url http://dx.doi.org/10.1016/j.rboe.2017.07.001
http://hdl.handle.net/11449/157586
identifier_str_mv Revista Brasileira de Ortopedia. Sociedade Brasileira de Ortopedia e Traumatologia, v. 52, n. 4, p. 390-395, 2017.
0102-3616
10.1016/j.rboe.2017.07.001
S0102-36162017000400390
S0102-36162017000400390.pdf
9733983545921495
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Revista Brasileira de Ortopedia
0,319
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 390-395
application/pdf
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 SciELO
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
_version_ 1803650027948605440

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