Publication:
Prognosis of venous thromboembolism in orthopaedic surgery or trauma patients and use of thromboprophylaxis.

dc.contributor.authorGutiérrez Guisado, J
dc.contributor.authorTrujillo-Santos, J
dc.contributor.authorArcelus, J I
dc.contributor.authorBertoletti, L
dc.contributor.authorFernandez-Capitán, C
dc.contributor.authorValle, R
dc.contributor.authorHernandez-Hermoso, J A
dc.contributor.authorErice Calvo-Sotelo, A
dc.contributor.authorNieto, J A
dc.contributor.authorMonreal, M
dc.contributor.authoren nombre de los investigadores del estudio RIETE
dc.date.accessioned2023-01-25T10:20:31Z
dc.date.available2023-01-25T10:20:31Z
dc.date.issued2018
dc.description.abstractThere is scarce evidence about the prognosis of venous thromboembolism in patients undergoing orthopedic surgery and in patients suffering non-surgical trauma. We used the RIETE database (Registro Informatizado de pacientes con Enfermedad Trombo Embólica) to compare the prognosis of venous thromboembolism and the use of thromboprophylaxis in patients undergoing different orthopedic procedures and in trauma patients not requiring surgery. From March 2001 to March 2015, a total of 61,789 patients were enrolled in RIETE database. Of these, 943 (1.52%) developed venous thromboembolism after elective arthroplasty, 445 (0.72%) after hip fracture, 1,045 (1.69%) after non-major orthopedic surgery and 2,136 (3.46%) after non-surgical trauma. Overall, 2,283 patients (50%) initially presented with pulmonary embolism. Within the first 90 days of therapy, 30 patients (0.66%; 95% CI 0.45-0.93) died from pulmonary embolism. The rate of fatal pulmonary embolism was significantly higher after hip fracture surgery (n = 9 [2.02%]) than after elective arthroplasty (n = 5 [0.53%]), non-major orthopedic surgery (n = 5 [0.48%]) or non surgical trauma (n = 11 [0.48%]). Thromboprophylaxis was more commonly used for hip fracture (93%) or elective arthroplasty (94%) than for non-major orthopedic surgery (71%) or non-surgical trauma (32%). Major bleeding was significantly higher after hip fracture surgery (4%) than that observed after elective arthroplasty (1.6%), non-major orthopedic surgery (1.5%) or non-surgical trauma (1.4%). Thromboprophylaxis was less frequently used in lower risk procedures despite the absolute number of fatal pulmonary embolism after non-major orthopedic surgery or non-surgical trauma, exceeded that observed after high risk procedures.
dc.identifier.doi10.1016/j.rce.2018.04.018
dc.identifier.essn2254-8874
dc.identifier.pmid29929734
dc.identifier.unpaywallURLhttp://ddfv.ufv.es/bitstream/10641/1732/1/Prognosis%20of%20venous%20.pdf
dc.identifier.urihttp://hdl.handle.net/10668/12629
dc.issue.number8
dc.journal.titleRevista clinica espanola
dc.journal.titleabbreviationRev Clin Esp (Barc)
dc.language.isoen
dc.language.isoes
dc.organizationHospital Universitario Virgen de las Nieves
dc.page.number399-407
dc.pubmedtypeJournal Article
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectCirugía ortopédica menor
dc.subjectDeep-vein thrombosis
dc.subjectEmbolismo pulmonar
dc.subjectMajor bleeding
dc.subjectNon-major orthopaedic surgery
dc.subjectPulmonary embolism
dc.subjectRecurrent thromboembolism
dc.subjectSangrado mayor
dc.subjectTrauma not requiring surgery
dc.subjectTraumatismo sin cirugía
dc.subjectTromboembolismo recurrente
dc.subjectTrombosis venosa profunda
dc.titlePrognosis of venous thromboembolism in orthopaedic surgery or trauma patients and use of thromboprophylaxis.
dc.title.alternativePronóstico de la enfermedad tromboembólica venosa en cirugía ortopédica o pacientes traumatológicos y uso de tromboprofilaxis.
dc.typeresearch article
dc.type.hasVersionSMUR
dc.volume.number218
dspace.entity.typePublication

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