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2012, Number 2

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Gac Med Mex 2012; 148 (2)

Profilaxis de la enfermedad tromboembólica venosa en cirugía ortopédica de alto riesgo

Meza RGE, Esquivel GR, Martínez CSA, Espinosa-Larrañaga F, Martínez GMÁE, Torres GR, Fuente ZJC, Méndez HJV, Villalobos GE, Cymet RJ, Ibarra HE, Díaz BE, Aguilera ZJM, Valles FJF, Majluf-Cruz A

Language: Spanish
References: 61
Page: 144-152
PDF size: 97.90 Kb.


ABSTRACT

Venous thromboembolism (VTE) is a worldwide public health problem, with an annual incidence of 1-2 cases/1,000 individuals in the general population and a 1-5% associated mortality. Orthopedic surgery is a major surgical risk factor for VTE, but the problem is more important for patients with hip and knee joint replacement, multiple traumatisms, severe damage to the spine, or large fractures. Thromboprophylaxis is defined as the strategy and actions necessary to diminish the risk of VTE in high-risk orthopedic surgery. Antithrombotics may prevent VTE. At the end of this paper, we describe a proposal of thromboprophylaxis actions for patients requiring high-risk orthopedic surgery, based on the opinion of specialists in Orthopedics and Traumatology who work with high-risk orthopedic surgery patients. A search for evidence about this kind of surgery was performed and a 100-item inquiring instrument was done in order to know the opinions of the participants. Then, recommendations and considerations were built. In conclusion, this document reviews the problem of VTE in high-risk orthopedic surgery patients and describes the position of the Colegio Mexicano de Ortopedia y Traumatología related to VTE prevention in this setting.


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