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急性脊髓损伤后的静脉血栓形成:预防指南的成本分析

Venous thrombosis after acute spinal cord injury: cost analysis of prophylaxis guidelines.

作者信息

Wade W E, Chisholm M A

机构信息

Department of Clinical and Administrative Sciences, College of Pharmacy, University of Georgia, Athens 30602, USA.

出版信息

Am J Phys Med Rehabil. 2000 Nov-Dec;79(6):504-8. doi: 10.1097/00002060-200011000-00003.

DOI:10.1097/00002060-200011000-00003
PMID:11083299
Abstract

OBJECTIVE

Venous thrombosis and pulmonary embolisms are major complications associated with acute spinal cord injury. The purpose of this study was to perform a cost analysis on the two pharmacoprophylaxis regimens suggested for deep vein thrombosis prophylaxis in this population.

METHODS

Efficacy and safety data were obtained from the literature.

RESULTS

Results of the cost analysis demonstrates that adjusted dose unfractionated heparin produces a cost savings over enoxaparin at 30 mg every 12 hr.

CONCLUSION

Further studies are needed to determine the most cost-effective therapy for preventing deep vein thrombi in this population.

摘要

目的

静脉血栓形成和肺栓塞是急性脊髓损伤的主要并发症。本研究的目的是对针对该人群预防深静脉血栓形成建议的两种药物预防方案进行成本分析。

方法

从文献中获取疗效和安全性数据。

结果

成本分析结果表明,调整剂量的普通肝素比每12小时30毫克的依诺肝素节省成本。

结论

需要进一步研究以确定该人群预防深静脉血栓形成的最具成本效益的治疗方法。

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引用本文的文献

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Prophylaxis of Venous Thrombosis in Neurocritical Care Patients: An Evidence-Based Guideline: A Statement for Healthcare Professionals from the Neurocritical Care Society.神经重症监护患者静脉血栓形成的预防:循证指南:神经重症监护学会给医疗专业人员的声明
Neurocrit Care. 2016 Feb;24(1):47-60. doi: 10.1007/s12028-015-0221-y.
2
Bilateral upper-extremity deep vein thrombosis following central cord syndrome.中央脊髓综合征后双侧上肢深静脉血栓形成
J Spinal Cord Med. 2013 May;36(3):243-6. doi: 10.1179/2045772313Y.0000000096.
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Prophylaxis for venous thrombo-embolism in neurocritical care: a critical appraisal.
神经危重症患者的静脉血栓栓塞预防:批判性评价。
Neurocrit Care. 2010 Apr;12(2):297-309. doi: 10.1007/s12028-009-9316-7.
4
Economic evaluation of a clinical protocol for diagnosing emergency patients with suspected pulmonary embolism.用于诊断疑似肺栓塞急诊患者的临床方案的经济学评估
Cost Eff Resour Alloc. 2006 Jun 27;4:12. doi: 10.1186/1478-7547-4-12.