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Orthopaedic surgeons and thromboprophylaxis
M D Laverick1, S A Croal, R A Mollan
1Queen's University of Belfast, Department of Orthopaedic Surgery, Musgrave Park Hospital.
BMJ (Clinical Research Ed.)
|September 7, 1991
Summary
Most UK orthopaedic surgeons use thromboprophylaxis, primarily drug-based, to prevent blood clots. However, many regimens are of limited value, highlighting a need for improved agents to enhance patient safety in orthopaedic surgery.
Area of Science:
- Orthopaedic Surgery
- Thromboprophylaxis
- Venous Thromboembolism Prevention
Background:
- Venous thromboembolism (VTE) remains a significant risk in orthopaedic surgery.
- Effective thromboprophylaxis is crucial for patient safety and reducing complications.
- Understanding current practices and attitudes among surgeons is vital for optimizing VTE prevention strategies.
Purpose of the Study:
- To evaluate the current attitudes and practices of United Kingdom orthopaedic surgeons regarding thromboprophylaxis.
- To identify the main risk factors perceived by surgeons for VTE.
- To determine the primary reasons cited for not employing thromboprophylaxis.
Main Methods:
- A single-page postal questionnaire was distributed to 926 active orthopaedic surgeons in the UK.
- The survey targeted members of the British Orthopaedic Association.
- Response rate analysis and descriptive statistics were used to summarize findings.
Main Results:
- A 70% response rate was achieved, with 659 surgeons participating.
- 90% of respondents utilized some form of thromboprophylaxis, predominantly pharmacological (83%).
- Ineffectiveness was the main reason cited for not using prophylaxis, with VTE history, hip surgery, and obesity identified as key risk factors.
Conclusions:
- The majority of UK orthopaedic surgeons employ thromboprophylaxis, but current methods often lack sufficient efficacy.
- Enhancing the effectiveness, safety, and ease of administration of prophylactic agents is necessary.
- Improved thromboprophylaxis regimens are essential to further enhance patient safety in orthopaedic procedures.