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Venous thromboembolism in Korean patients undergoing major orthopedic surgery: Thus, the incidence of 0. In three patients, enoxaparin was replaced by dabigatran and in one patient, by non-fractioned heparin, with no report as to the reason.

Natural history of venous thromboembolism.

A greater frequency of bleeding as a complication was observed in THA Author information Copyright and License information Disclaimer. The occurrence of VTE was confirmed in 1. Moreover, despite the small incidence, the length of hospital stay of patients with suspected VTE was equally increased in both health systems, even with greater cost for the private sector.

In this group, the scheme for administration of enoxaparin was similar to that of patients submitted to TKA and to THA, with a dosage of 40mg daily, initiating the medication, on average 29 hours after the surgical procedure and with a mean duration of 3 and 4 ccbhpm during hospitalization, respectively.

For the purpose of edicaoo study, confirmed VTE was defined as a report, in the medical chart, of the confirmation of a clinical suspicion of the event by the physician, besides the positive report of some diagnostic method Doppler ultrasonography of vessels, helical computed tomography and pulmonary arteriography.

Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals

Abstract Objective To compare therapy for prophylaxis of venous thromboembolism and costs related to hospitalization of patients undergoing total knee and hip replacement within the context of the Brazilian health system. A scheme of enoxaparin 60mg daily was given to two patients with a mean start of Additionally, the studies were not designed to evaluate the efficacy of the use of prophylaxis. All analyses were made using the statistical software Stata, version MP11, and the R Project, version 2.

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Find articles by Ricardo Prado Golmia.

Rev Assoc Med Bras. The present study evaluated how prophylaxis for VTE is conducted in patients submitted to TKA and THA operations within the Brazilian reality, in the context of both public and sdicao health services.

Most of the patients submitted to both operations were not smokers, were overweight, with mean body mass index BMI of Similar to our results, two studies demonstrated that the incidence of VTE observed in individuals submitted to TKA was greater than that seen for the individuals submitted to THA. Trombose venosa profunda em artroplastia total de quadril. In eidcao next years, with the gradual introduction of new oral anticoagulants for prophylaxis on the market, it will be interesting to know how the public sector should position itself as to standardization of oral medications.

A total of patients were evaluated, and Thromboembolism prophylaxis in patients undergoing arthroplasty is most commonly used in the private health services than public organizations, despite its high costs in both services. Additionally, it presented yet unpublished results as to the costs of prophylaxis for VTE and incremental expenses for the health system related to the occurrence of VTE during surgical hospitalization.

Absence of thromboprophylaxis was the major reason for not being appropriate. Sao Paulo Med J.

Quality assessment of guidelines on thromboprophylaxis in orthopaedic surgery. In this way, the objective of this study was to describe the VTE prophylaxis patterns and the costs during the hospital stay of patients submitted to TKA and THA, within the context of the Brazilian healthcare system.

The study included patients with a minimum age of 18 years submitted to elective surgery for THA or TKA between January 1st, and December 31st,and who were not previously using antithrombotic therapy. The incidence of peripheral venous thrombosis in patients submitted to arthroplasty of the hip and knee is similar, with a moderate increase in absence of prophylaxis at the public hospital.


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The unit values of each type of resource were in accordance with the financial source, using the following official sources edicai pricing of healthcare resources: Comparative effectiveness of combined pharmacologic and mechanical thromboprophylaxis versus either method alone in major orthopedic surgery: Despite the findings demonstrated by this study corroborating those of the investigation by Ramacciotti et al.

In the SS, dabigatran was prescribed for one 0. In these cases, it is possible to adopt preventive measures, which make VTE the primary cause of avoidable in-hospital death. Find articles by Morton Aaron Scheinberg.

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Find articles by Aline Pinheiro dos Santos Cortada. Figure 1 shows the flowchart of the study population.

Estudos mais antigos, como os de Engelhorn et al. Find articles by Telma Gomes da Silva.

Among the patients with information available, National Center for Biotechnology InformationU. Thromboprophylaxis can be performed with drug and non-drug strategies. Among the patients seen by the SUS and analyzed in this study, the occurrence of VTE was suspected during the period of hospital stay in 2. The cost per patient with thrombosis during hospitalization was higher than the total cost of prophylaxis, suggesting that prevention is associated to better cost-benefit ratio.

Received Feb 5; Accepted Aug