Hand and wrist surgery without suspending warfarin or oral antiplatelet - systematic review
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
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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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:29462024-08-05T20:44:46.350421Repositório 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 |
|
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1808129241379766272 |