大型骨科手术后的静脉血栓栓塞
Venous thromboembolism following major orthopedic surgery.
作者信息
Cionac Florescu Simona, Anastase Denisa-Madalina, Munteanu Ana-Maria, Stoica Ioan Cristian, Antonescu Dinu
机构信息
Foisor Clinical Hospital of Orthopedics, Traumatology and Osteo-Articular Tuberculosis, Department of Anesthesia and Intensive Care, Bucharest, Romania.
Foisor Clinical Hospital of Orthopedics, Traumatology and Osteo-Articular Tuberculosis, Department of Orthopedic Surgery, Bucharest, Romania.
出版信息
Maedica (Bucur). 2013 Jun;8(2):189-94.
Abstract
Venous thromboembolism (VTE) is an important complication of major orthopedic surgery (total hip arthroplasty-THA, total knee arthroplasty-TKA, hip fracture surgery-FHS) and is associated with significant morbidity and mortality. Despite this, not all patients receive an appropriate prophylaxis, often due to a disproportionate fear of bleeding complications. A challenge in the management of VTE prophylaxis is to balance the benefits of the treatment with the risk of bleeding. In this article, we review the latest guidelines recommendations regarding prevention of postoperative VTE in patients undergoing orthopedic surgery.
摘要
静脉血栓栓塞症（VTE）是大型骨科手术（全髋关节置换术 - THA、全膝关节置换术 - TKA、髋部骨折手术 - FHS）的重要并发症，与显著的发病率和死亡率相关。尽管如此，并非所有患者都接受了适当的预防措施，这通常是由于对出血并发症的过度恐惧。VTE预防管理中的一个挑战是在治疗益处与出血风险之间取得平衡。在本文中，我们回顾了有关骨科手术患者术后VTE预防的最新指南建议。
相似文献
1
Venous thromboembolism following major orthopedic surgery.大型骨科手术后的静脉血栓栓塞
Maedica (Bucur). 2013 Jun;8(2):189-94.
2
Temporal trends in prevention of venous thromboembolism following primary total hip or knee arthroplasty 1996-2001: findings from the Hip and Knee Registry.1996 - 2001年初次全髋关节或膝关节置换术后静脉血栓栓塞预防的时间趋势：来自髋关节和膝关节注册中心的研究结果
Chest. 2003 Dec;124(6 Suppl):349S-356S. doi: 10.1378/chest.124.6_suppl.349s.
3
Prevention of venous thromboembolism in the orthopedic surgery patient.骨科手术患者静脉血栓栓塞的预防
Cleve Clin J Med. 2008 Apr;75 Suppl 3:S27-36. doi: 10.3949/ccjm.75.suppl_3.s27.
4
Bleeding and thromboembolism risk of standard antithrombotic prophylaxis after hip or knee replacement within an enhanced recovery program.在强化康复方案中，髋关节或膝关节置换术后标准抗血栓预防的出血和血栓栓塞风险。
Orthop Traumatol Surg Res. 2020 Dec;106(8):1533-1538. doi: 10.1016/j.otsr.2020.02.026. Epub 2020 Oct 28.
5
Aspirin for the prophylaxis of venous thromboembolic events in orthopedic surgery patients: a comparison of the AAOS and ACCP guidelines with review of the evidence.阿司匹林用于预防骨科手术患者静脉血栓栓塞事件：AAOS 和 ACCP 指南比较及证据回顾。
Ann Pharmacother. 2013 Jan;47(1):63-74. doi: 10.1345/aph.1R331. Epub 2013 Jan 16.
6
Is Apixaban Safe and Effective for Venous Thromboembolism Prophylaxis After Primary Total Hip and Total Knee Arthroplasties?阿哌沙班用于初次全髋关节和全膝关节置换术后静脉血栓栓塞症预防的安全性和有效性如何？
J Arthroplasty. 2021 Jul;36(7S):S328-S331. doi: 10.1016/j.arth.2021.03.030. Epub 2021 Mar 23.
7
Utilization Patterns, Efficacy, and Complications of Venous Thromboembolism Prophylaxis Strategies in Primary Hip and Knee Arthroplasty as Reported by American Board of Orthopedic Surgery Part II Candidates.美国骨科外科委员会第二部分候选人报告的初次髋关节和膝关节置换术的静脉血栓栓塞预防策略的使用模式、疗效和并发症。
J Arthroplasty. 2019 Apr;34(4):729-734. doi: 10.1016/j.arth.2018.12.015. Epub 2018 Dec 22.
8
Pharmacological thromboprophylaxis and its impact on venous thromboembolism following total knee and hip arthroplasty in Korea: A nationwide population-based study.韩国全膝关节和全髋关节置换术后的药物性血栓预防及其对静脉血栓栓塞的影响：一项基于全国人口的研究。
PLoS One. 2017 May 24;12(5):e0178214. doi: 10.1371/journal.pone.0178214. eCollection 2017.
9
Aspirin versus enoxaparin for the initial prevention of venous thromboembolism following elective arthroplasty of the hip or knee: A systematic review and meta-analysis.阿司匹林与依诺肝素在髋关节或膝关节择期置换术后预防静脉血栓栓塞的初始预防作用：系统评价和荟萃分析。
Orthop Traumatol Surg Res. 2021 Feb;107(1):102606. doi: 10.1016/j.otsr.2020.04.002. Epub 2020 Jul 4.
10
Thromboprophylaxis in patients undergoing total hip and knee arthroplasty: a review of current practices in an Australian teaching hospital.全髋关节和膝关节置换术患者的血栓预防：澳大利亚一家教学医院的当前实践综述
Intern Med J. 2015 Mar;45(3):293-9. doi: 10.1111/imj.12675.
引用本文的文献
1
The Benefits and Imperative of Venous Thromboembolism Risk Screening for Hospitalized Patients: A Systematic Review.住院患者静脉血栓栓塞风险筛查的益处与必要性：一项系统评价
J Clin Med. 2023 Nov 9;12(22):7009. doi: 10.3390/jcm12227009.
2
Venous Thromboembolism Prophylaxis in Major Orthopedic Surgeries and Factor XIa Inhibitors.骨科大手术与因子 XIa 抑制剂预防静脉血栓栓塞症
Med Sci (Basel). 2023 Aug 11;11(3):49. doi: 10.3390/medsci11030049.
3
Predictors of Symptomatic Venous Thromboembolism in Patients with Soft Tissue Sarcoma in the Lower Extremity.下肢软组织肉瘤患者症状性静脉血栓栓塞的预测因素
Cancers (Basel). 2023 Jan 3;15(1):315. doi: 10.3390/cancers15010315.
4
Clinical effectiveness and safety of aspirin and other anticoagulants for venous thromboembolism prophylaxis after major orthopedic surgery: a systematic review and meta-analysis of randomized clinical trials.阿司匹林及其他抗凝剂用于大型骨科手术后静脉血栓栓塞预防的临床有效性和安全性：一项随机临床试验的系统评价和荟萃分析
EFORT Open Rev. 2022 Dec 21;7(12):792-799. doi: 10.1530/EOR-22-0053.
5
Comparison of the Efficacy and Safety of Rivaroxaban and Enoxaparin as Thromboprophylaxis Agents for Orthopedic Surgery-Systematic Review and Meta-Analysis.利伐沙班与依诺肝素作为骨科手术血栓预防药物的疗效和安全性比较——系统评价与Meta分析
J Clin Med. 2022 Jul 14;11(14):4070. doi: 10.3390/jcm11144070.
6
Efficacy and Safety of Thromboprophylaxis Post-Orthopedic Surgery.骨科手术后血栓预防的疗效与安全性
Cureus. 2021 Nov 18;13(11):e19691. doi: 10.7759/cureus.19691. eCollection 2021 Nov.
7
Review of Therapeutic Options for the Prevention of VTE in Total Joint Arthroplasty.全关节置换术中预防静脉血栓栓塞症的治疗选择综述
Geriatrics (Basel). 2020 Mar 18;5(1):18. doi: 10.3390/geriatrics5010018.
8
Blood Flow Restriction Exercise: Considerations of Methodology, Application, and Safety.血流限制训练：方法学、应用及安全性考量
Front Physiol. 2019 May 15;10:533. doi: 10.3389/fphys.2019.00533. eCollection 2019.
9
Aspirin for thromboprophylaxis in major orthopedic surgery: old drug, new tricks?阿司匹林用于大型骨科手术的血栓预防：旧药新用？
Acta Biomed. 2018 Feb 27;89(1):31-33. doi: 10.23750/abm.v89i1.7121.
10
Venous thromboembolism knowledge among older post-hip fracture patients and their caregivers.髋部骨折老年患者及其照料者对静脉血栓栓塞症的认知
Geriatr Nurs. 2014 Sep-Oct;35(5):374-80. doi: 10.1016/j.gerinurse.2014.05.004. Epub 2014 Jul 8.
本文引用的文献
1
The effects of rivaroxaban on the complications of surgery after total hip or knee replacement: results from the RECORD programme.利伐沙班对全髋关节或膝关节置换术后手术并发症的影响：RECORD项目的结果
J Bone Joint Surg Br. 2012 Nov;94(11):1573-8. doi: 10.1302/0301-620X.94B11.28955.
2
The role of anticoagulation clinics in the era of new oral anticoagulants.抗凝门诊在新型口服抗凝剂时代的作用。
Thrombosis. 2012;2012:835356. doi: 10.1155/2012/835356. Epub 2012 Oct 14.
3
Combined (mechanical and pharmacological) modalities for the prevention of venous thromboembolism in joint replacement surgery.关节置换手术中预防静脉血栓栓塞的联合（机械和药物）方式
J Bone Joint Surg Br. 2012 Jun;94(6):729-34. doi: 10.1302/0301-620X.94B6.28128.
4
Pulmonary embolism and deep vein thrombosis.肺栓塞与深静脉血栓形成。
Lancet. 2012 May 12;379(9828):1835-46. doi: 10.1016/S0140-6736(11)61904-1. Epub 2012 Apr 10.
5
Apixaban versus enoxaparin for thromboprophylaxis after hip or knee replacement: pooled analysis of major venous thromboembolism and bleeding in 8464 patients from the ADVANCE-2 and ADVANCE-3 trials.阿哌沙班与依诺肝素用于髋或膝关节置换术后血栓预防：来自ADVANCE-2和ADVANCE-3试验的8464例患者主要静脉血栓栓塞和出血的汇总分析
J Bone Joint Surg Br. 2012 Feb;94(2):257-64. doi: 10.1302/0301-620X.94B2.27850.
6
Prevention of VTE in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines.骨科手术患者静脉血栓栓塞症的预防：抗血栓治疗和血栓预防，第 9 版：美国胸科医师学会基于证据的临床实践指南。
Chest. 2012 Feb;141(2 Suppl):e278S-e325S. doi: 10.1378/chest.11-2404.
7
Prevention of VTE in nonsurgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines.非外科患者的 VTE 预防：抗血栓治疗和血栓预防，第 9 版：美国胸科医师学会基于证据的临床实践指南。
Chest. 2012 Feb;141(2 Suppl):e195S-e226S. doi: 10.1378/chest.11-2296.
8
Preoperative versus postoperative initiation of thromboprophylaxis following major orthopedic surgery: safety and efficacy of postoperative administration supported by recent trials of new oral anticoagulants.骨科大手术后术前与术后启动血栓预防治疗：新口服抗凝剂的近期试验支持术后给药的安全性和疗效。
Thromb J. 2011 Nov 16;9:17. doi: 10.1186/1477-9560-9-17.
9
Venous thromboembolism prophylaxis in hospitalized medical patients and those with stroke: a background review for an American College of Physicians Clinical Practice Guideline.住院内科患者和脑卒中患者的静脉血栓栓塞症预防：美国医师学会临床实践指南背景评价。
Ann Intern Med. 2011 Nov 1;155(9):602-15. doi: 10.7326/0003-4819-155-9-201111010-00008.
10
A risk assessment model for the identification of hospitalized medical patients at risk for venous thromboembolism: the Padua Prediction Score.一种用于识别住院医疗患者静脉血栓栓塞风险的风险评估模型：帕多瓦预测评分。
J Thromb Haemost. 2010 Nov;8(11):2450-7. doi: 10.1111/j.1538-7836.2010.04044.x.
Zotero 插件