患者特异性静脉血栓栓塞事件预防在整体关节整形术中 - - 文献支持的指导方针
Maximillian P Ganz1, Jonathan R Danoff2,3, Bradley Gerber4
1Northwell Orthopaedic Institute, Huntington Hospital, Huntington, NY.
Surgical technology international
|June 21, 2023
概括
整关节整形术 (TJA) 患者面临静脉血栓栓塞事件 (VTE) 的风险. 这项研究确定了患者特定的静脉瘤风险因素,并概述了TJA手术的预防策略.
科学领域:
- 整形外科手术 整形外科手术
- 血管医学 血管医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 静脉血栓栓塞事件 (VTE) 是全面关节整形术 (TJA) 后的一个重大并发症.
- 患者特定的因素,包括遗传学,先前的VTE,修复手术和并发症,增加TJA后的VTE风险.
- 现有的VTE预防指南存在,但骨科外科医生之间缺乏关于最佳抗凝血的共识.
研究的目的:
- 审查基于证据的患者特异性风险因素对TJA术后期的VTE.
- 描述作者机构为TJA患者实施的VTE预防方案.
- 为TJA患者的并发性疾病提供关于管理手术前抗凝药的建议.
主要方法:
- 对TJA后患者特异性VTE风险因素的文献综述.
- 对TJA的机构VTE预防方案的描述.
- 对手术前同伴疾病的抗凝治疗管理的分析.
主要成果:
- 确定了导致TJA后VTE风险的关键患者特异性因素.
- 详细介绍了基于患者风险分层的分层VTE预防方法.
- 提供关于继续或停止手术前抗凝药的指导.
结论:
- 了解患者特异性风险因素对于在TJA后有效预防VTE至关重要.
- 一个标准化,风险分层的预防方案可以优化VTE管理.
- 对TJA患者来说,手术前抗凝剂的个性化管理是必要的.
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