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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
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Deep Vein Thrombosis Prophylaxis in Orthopedic Surgery
Shu Lin1, Adrian Alepuz1, Tara Tritsch1
1Medical Education, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Fort Lauderdale, USA.
Cureus
|March 8, 2024
Summary
Deep vein thrombosis (DVT) is a significant risk following orthopedic surgery. This review explores DVT risk factors, prophylaxis methods, and economic considerations to improve patient outcomes.
Area of Science:
- Orthopedics
- Vascular Medicine
- Health Economics
Background:
- Deep vein thrombosis (DVT) and pulmonary embolism (PE) are significant risks in orthopedic surgery patients.
- Prolonged immobility and surgical stasis increase DVT risk, making it a leading cause of mortality in this population.
Purpose of the Study:
- To review the multifactorial risk factors for DVT in orthopedic patients.
- To evaluate the efficacy and safety of mechanical and pharmacological DVT prophylaxis methods.
- To analyze the economic impact and cost-effectiveness of DVT prophylaxis strategies.
Main Methods:
- Comprehensive literature review of studies on DVT risk factors in orthopedic surgery.
- Systematic evaluation of evidence on mechanical and pharmacological prophylaxis interventions.
- Economic analysis of DVT prophylaxis, including cost-effectiveness studies.
Main Results:
- Orthopedic surgery patients face elevated DVT/PE risks due to immobility and surgical factors.
- Various mechanical and pharmacological methods demonstrate efficacy in DVT prevention.
- Cost-effectiveness of prophylaxis varies, necessitating optimized strategies.
Conclusions:
- Understanding DVT risk factors is crucial for effective prevention in orthopedic settings.
- A combination of prophylactic methods may be optimal, balancing efficacy, safety, and cost.
- Strategic implementation of DVT prophylaxis can reduce mortality and healthcare costs.
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