在康复中预防静脉血栓栓塞:审查和实践建议
William H Geerts1, Eric Jeong, Lawrence R Robinson
1From the Thromboembolism Program, Sunnybrook Health Sciences Centre (WHG); Department of Medicine, University of Toronto, Toronto, ON, Canada (WHG); Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, ON, Canada (EJ); Sunnybrook Health Sciences Centre, Toronto, ON, Canada (LRR, HK); Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, ON, Canada (LRR); and Division of Neurology, University of Toronto, Toronto, ON, Canada (HK).
American journal of physical medicine & rehabilitation
|June 25, 2024
概括
静脉血栓塞栓症 (VTE) 预防在康复环境中至关重要,但证据有限. 本综述为在住院康复期间预防风险患者的VTE提供了实践建议.
科学领域:
- 医学科学 医学科学 医学科学
- 患者安全 患者安全
- 康复医学 康复医学 康复医学
背景情况:
- 静脉血栓栓塞 (VTE) 是急性护理和住院康复的常见并发症.
- 基于证据的血栓预防是患者安全的优先事项,减少VTE,死亡率和医疗保健成本.
- 缺乏高质量的证据和临床实践指南,用于康复中预防VTE.
研究的目的:
- 在住院康复中审查VTE的风险.
- 评估目前关于特定于康复环境的VTE预防策略的证据.
- 为康复中VTE预防提供基于证据的实践建议.
主要方法:
- 在住院康复中对VTE风险和预防进行了文献搜索.
- 评估了主要康复子组的证据.
- 审查了当前的血栓预防方法,包括低分子量肝素和直接口服抗凝剂.
主要成果:
- 仅仅是动员并不能消除静脉瘤风险 - - 血栓后伤害.
- 低分子量肝素和直接口服抗凝剂是主要的血栓预防选择.
- 对康复机构的具体证据仍然有限.
结论:
- 在康复中需要量身定制的VTE预防策略.
- 提供了实践建议,供康复单位考虑.
- 需要进一步的研究来制定针对各种康复群体的VTE预防的具体临床实践指南.
相关概念视频
01:04Venous Return
3.9K
The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
3.9K
01:30Anticoagulant Drugs: Low-Molecular-Weight Heparins
675
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...
675
01:27Assessment of the Cardiovascular System III: Palpation
307
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
307