Document Detail


Changing patterns of prophylaxis for deep venous thrombosis following elective hip replacement.
MedLine Citation:
PMID:  8421656     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The author audited the charts of elective hip replacements at a community hospital over an 18 month period. Initially, aspirin was the most commonly ordered prophylactic agent (31%). Only 15% of patients received an ideal or probably effective prophylactic regimen. After feedback was received by the orthopedists, another audit was performed. Warfarin was the most commonly used agent and 54% of patients received an ideal or probably effective regimen in the follow-up period (P < .0001 compared to initial survey). Although there is still room for further improvement, orthopedists in this community are using more effective regimens to prevent thromboembolism following elective hip surgery.
Authors:
R S Grossman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Orthopedics     Volume:  16     ISSN:  0147-7447     ISO Abbreviation:  Orthopedics     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-02-12     Completed Date:  1993-02-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806107     Medline TA:  Orthopedics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  19-22     Citation Subset:  IM    
Affiliation:
Internal Medicine Training Program, Moses H. Cone Memorial Hospital, Greensboro, NC.
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MeSH Terms
Descriptor/Qualifier:
Aspirin / therapeutic use
Heparin / therapeutic use
Hip Prosthesis / adverse effects*
Humans
Medical Audit
Retrospective Studies
Thrombolytic Therapy / utilization*
Thrombophlebitis / etiology,  prevention & control*
Warfarin / therapeutic use
Chemical
Reg. No./Substance:
50-78-2/Aspirin; 81-81-2/Warfarin; 9005-49-6/Heparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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