Padhye Kedar, El-Hawary Ron, Price Victoria, Stevens Sarah, Branchford Brian, Kulkarni Ketan
Division of Orthopaedics, IWK Health Centre, Halifax, Nova Scotia, Canada.
Department of Pediatrics, IWK Health Centre, Halifax, Nova Scotia, Canada.
Pediatr Hematol Oncol. 2020 Mar;37(2):109-118. doi: 10.1080/08880018.2019.1695030. Epub 2019 Dec 23.
Venous thromboembolism (VTE) has been recognized as a rare but potentially serious complication in pediatric orthopedic patients. However, standardized guidelines for screening and management of at-risk patients do not exist. The aim of the study was to develop a VTE prophylaxis screening tool for postoperative orthopedic patients after conducting an institutional needs assessment survey. A needs assessment survey was conducted after institutional ethics board approval. Development of perioperative VTE prophylaxis algorithm for pediatric orthopedic surgical patients was planned after thorough literature review, consultation with national and international experts as well as using a modified nominal and consensus development conference (serial meetings) method for reaching a consensus. NAS as well as discussion with stakeholders indicated support for development of perioperative VTE prophylaxis algorithm for orthopedic patients. Using above methods, a VTE prophylaxis algorithm was developed and implemented at IWK Health Center. The present study involved development of a perioperative VTE prophylaxis algorithm for pediatric orthopedic surgical patients that could be easily and rapidly administered as a point of care assessment tool.
静脉血栓栓塞症（VTE）在小儿骨科患者中被认为是一种罕见但可能严重的并发症。然而，目前尚无针对高危患者筛查和管理的标准化指南。本研究的目的是在进行机构需求评估调查后，为骨科术后患者开发一种VTE预防筛查工具。在获得机构伦理委员会批准后，进行了需求评估调查。在全面的文献综述、与国内外专家咨询以及采用改良的名义小组和共识发展会议（系列会议）方法以达成共识之后，计划为小儿骨科手术患者制定围手术期VTE预防算法。需求评估调查以及与利益相关者的讨论表明，支持为骨科患者制定围手术期VTE预防算法。采用上述方法，在IWK健康中心开发并实施了一种VTE预防算法。本研究涉及为小儿骨科手术患者开发一种围手术期VTE预防算法，该算法可作为一种即时护理评估工具轻松快速地应用。
