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[Postoperative pulmonary thromboembolism].

Norimasa Seo1

  • 1Department of Anesthesiology and Critical Care Medicine, Jichi Medical School.

Nihon Rinsho. Japanese Journal of Clinical Medicine
|October 28, 2003
PubMed
Summary

Guidelines for antithrombotic therapy are established, but data on deep vein thrombosis (DVT) and pulmonary thromboembolism in Japan is limited. Further research is needed to understand incidence rates after surgery in Japan.

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Area of Science:

  • Vascular Surgery
  • Thrombosis Research
  • Clinical Guidelines

Context:

  • Established guidelines for antithrombotic therapy by the American College of Chest Physicians (ACCP) since 1986.
  • The 2001 ACCP consensus conference provided recommendations for preventing thrombosis in surgical patients.
  • Japanese studies indicate lower deep vein thrombosis (DVT) incidence after general surgery compared to Western countries.

Purpose:

  • To highlight the disparity in DVT incidence between general surgery and major orthopedic procedures (total hip/knee replacement) in Japan.
  • To address the limited data on postoperative DVT and pulmonary thromboembolism (PE) in Japan.
  • To emphasize the necessity for prospective multicenter surveys to accurately determine DVT and PE incidence in Japanese surgical patients.

Summary:

  • While general surgery shows lower DVT rates in Japan, orthopedic surgery (hip/knee replacement) incidence is comparable to Western countries.
  • There is a significant lack of comprehensive data regarding the incidence of deep vein thrombosis and pulmonary thromboembolism following surgical procedures in Japan.
  • Prospective multicenter surveys are crucial for establishing accurate epidemiological data on postoperative thrombosis in Japan.

Impact:

  • Informing evidence-based clinical practice for thrombosis prevention in Japanese surgical settings.
  • Guiding future research and guideline development specific to the Japanese population.
  • Potentially improving patient outcomes by addressing data gaps in thrombosis management.

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