整形外科中深静脉血栓形成和肺栓塞预防的益处与风险：对照试验及共识会议的系统评价和荟萃分析
Benefits and Risks of Prophylaxis for Deep Venous Thrombosis and Pulmonary Embolus in Plastic Surgery: A Systematic Review and Meta-Analysis of Controlled Trials and Consensus Conference.
作者信息
Pannucci Christopher J, MacDonald John K, Ariyan Stephan, Gutowski Karol A, Kerrigan Carolyn L, Kim John Y, Chung Kevin C
机构信息
Salt Lake City, Utah; New Haven, Conn.; Chicago, Ill.; Lebanon, N.H.; Ann Arbor, Mich.; and London, Ontario, Canada From the Division of Plastic Surgery, University of Utah; the Section of Plastic Surgery, Yale University; Plastic Surgery, University of Illinois; the Division of Plastic Surgery, Northwestern University; the Section of Plastic Surgery, Dartmouth-Hitchcock Medical Center; the Section of Plastic Surgery, University of Michigan; and the Department of Medicine, University of Western Ontario.
出版信息
Plast Reconstr Surg. 2016 Feb;137(2):709-730. doi: 10.1097/01.prs.0000475790.54231.28.
UNLABELLED
The goal of this consensus conference, sponsored by the American Association of Plastic Surgeons, was to perform a systematic review and meta-analysis of controlled trials to examine both the benefits and risks of venous thromboembolism prophylaxis in plastic surgery patients. The panel sought to assess the safety and effectiveness of recognized venous thromboembolism prophylaxis strategies, including variation in anesthetic management, use of elastic compression stockings or intermittent pneumatic compression, and use of chemoprophylaxis. The authors also sought to examine effectiveness and safety of prophylaxis in patients risk-stratified by procedure type or 2005 Caprini score. The panel met face to face in March of 2015 to perform an exhaustive review of the existing literature. The panel subsequently created consensus recommendations using the GRADE criteria. Important directions for future research were also identified.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.
未标注
本次共识会议由美国整形外科医师协会主办，目的是对对照试验进行系统评价和荟萃分析，以研究整形外科患者静脉血栓栓塞预防措施的益处和风险。该小组试图评估公认的静脉血栓栓塞预防策略的安全性和有效性，包括麻醉管理的差异、使用弹性压缩袜或间歇性气动压迫以及化学预防的使用。作者还试图研究根据手术类型或2005年卡普里尼评分进行风险分层的患者预防措施的有效性和安全性。该小组于2015年3月举行面对面会议，对现有文献进行了详尽的回顾。该小组随后使用GRADE标准制定了共识建议。还确定了未来研究的重要方向。
临床问题/证据水平：治疗性，V级
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