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

dc.contributor.authorGutiérrez Guisado, Javier
dc.contributor.authorTrujillo Santos, J.
dc.contributor.authorArcelus, J. I.
dc.contributor.authorBertoletti, L.
dc.contributor.authorFernández Capitán, C.
dc.contributor.authorValle, R.
dc.contributor.authorHernández Hermoso, J.A.
dc.contributor.authorErice Calvo Sotelo, A.
dc.contributor.authorNieto, J. A.
dc.contributor.authorMonreal, M.
dc.date.accessioned2019-11-16T10:24:29Z
dc.date.available2019-11-16T10:24:29Z
dc.date.issued2018
dc.identifier.issn0014-2565spa
dc.identifier.urihttp://hdl.handle.net/10641/1732
dc.description.abstractBACKGROUND: There is scarce evidence about the prognosis of venous thromboembolism in patients undergoing orthopedic surgery and in patients suffering non-surgical trauma. METHODS: 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. RESULTS: 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%). CONCLUSIONS: 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.spa
dc.language.isoengspa
dc.publisherRevista Clínica Españolaspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.titlePronóstico de la enfermedad tromboembólica venosa en cirugía ortopédica o pacientes traumatológicos y uso de tromboprofilaxis.spa
dc.titlePrognosis of venous thromboembolism in orthopaedic surgery or trauma patients and use of thromboprophylaxis.spa
dc.typearticlespa
dc.description.versionpre-printspa
dc.rights.accessRightsopenAccessspa
dc.description.extent441 KBspa
dc.identifier.doi10.1016/j.rce.2018.04.018spa
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/abs/pii/S0014256518301620?via%3Dihubspa


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