| Efficacy of combined modality prophylaxis including short-duration warfarin to prevent venous thromboembolism after total hip arthroplasty. | |
| | |
MedLine Citation:
|
PMID: 16781396 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This study reviewed the effectiveness of a trimodality deep venous thrombosis (DVT) prophylactic regimen after primary and revision total hip arthroplasty. Seven hundred five patients were treated with pneumatic compression, adjusted dose warfarin (7 days), and early mobilization. Bilateral lower extremity venous ultrasonography was obtained on postoperative day 3 or 4. The incidence of asymptomatic DVT, symptomatic DVT/pulmonary embolus events within 90 days of surgery, and potential influence of risk factors was retrospectively assessed. Deep venous thrombosis incidence was 4.4% with one (0.1%) nonfatal pulmonary embolus. Increased age, male sex, and DVT history were significant risk factors for thromboembolic events within 90 days of hip arthroplasty. The combination of short-duration warfarin and mechanical prophylaxis with predischarge ultrasound screening was safe and effective in limiting the occurrence of venous thromboembolism. |
| | |
Authors:
|
James A Keeney; John C Clohisy; Madelyn C Curry; William J Maloney |
Related Documents
:
|
10475986 - Educational campaign to improve the prevention of postoperative venous thromboembolism. 15117096 - Current perspectives on the treatment of venous thromboembolism: need for effective, sa... 9646776 - Treatment of deep venous thrombosis and pulmonary embolism. current recommendations. 20206776 - Apixaban versus enoxaparin for thromboprophylaxis after knee replacement (advance-2): a... 9159286 - Prolonged increased concentrations of 17beta-estradiol associated with development of p... 23193986 - Pyogenic brain abscess, a 15 year survey. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of arthroplasty Volume: 21 ISSN: 0883-5403 ISO Abbreviation: J Arthroplasty Publication Date: 2006 Jun |
Date Detail:
|
Created Date: 2006-06-19 Completed Date: 2006-11-14 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8703515 Medline TA: J Arthroplasty Country: United States |
Other Details:
|
Languages: eng Pagination: 469-75 Citation Subset: IM |
Affiliation:
|
Department of Orthopaedic Surgery, Washington University School of Medicine, 660 So. Euclid, Campus Box 8233, St. Louis, MO 63110, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Anticoagulants / therapeutic use* Arthroplasty, Replacement, Hip / adverse effects* Bandages Combined Modality Therapy Female Humans Male Middle Aged Motor Activity Postoperative Complications / prevention & control* Regression Analysis Retrospective Studies Thromboembolism / prevention & control* Treatment Outcome Venous Thrombosis / prevention & control* Walking Warfarin / therapeutic use* |
| Chemical | |
Reg. No./Substance:
|
0/Anticoagulants; 81-81-2/Warfarin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Reduction of morbidity and mortality by statins, angiotensin-converting enzyme inhibitors, and angio...
Next Document: Cementless total hip arthroplasty in patients 50 years or younger.