骨科创伤后静脉血栓栓塞检测实践:预防方案不会影响检测模式.
Bryce E Haac1, Nathan N O'Hara2, Elliott R Haut3
1Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
概括
创伤患者的静脉血栓塞栓症 (VTE) 测试没有因预防而有所不同. 然而,种族,伤害严重程度和社会经济地位影响了VTE监测模式.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 血管医学 血管医学
背景情况:
- 静脉血栓栓塞 (VTE) 是创伤患者的一个重大风险.
- 在这个人群中,最佳的VTE监测策略仍在研究中.
研究的目的:
- 分析骨科创伤患者的VTE测试模式.
- 根据不同的预防方案,比较VTE监测率.
- 为了确定与VTE测试相关的患者因素.
主要方法:
- 对ADAPT试验的二次分析,这是一项前性随机试验.
- 包括329名患有特定骨折类型的成年创伤患者,需要进行静脉瘤预防.
- 在受伤后90天内记录了VTE成像研究.
主要成果:
- 只有20.4%的患者接受了VTE测试;29.9%的测试者呈阳性.
- 在阿司匹林和低分子量肝素 (LMWH) 预防组之间的VTE测试率没有显著差异 (P=0.50).
- 白人种族,较高的伤害严重性得分和较低的社会经济地位 (较高的区域贫困指数) 与增加的VTE测试有关.
结论:
- 在骨科创伤患者的VTE监测实践没有受到使用的预防方案的显著影响.
- 患者的人口统计和社会经济因素在决定谁接受VTE监测方面发挥着作用.
- 可能需要进一步的研究来标准化创伤护理中的VTE测试协议.
相关概念视频
Pre-Procedural Guidelines for Assessing Blood Pressure
563
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
563
Anticoagulant Drugs: Low-Molecular-Weight Heparins
689
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
689
Disorders of Hemostasis
881
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
881


