Department of Orthopaedics and Traumatology, Medipol Mega University Hospital, İstanbul, Turkey.
Thomas Jefferson University, Rothman Orthopaedic Institute, Philadelphia, USA.
Acta Orthop Traumatol Turc. 2023 Sep;57(5):192-203. doi: 10.5152/j.aott.2023.23074.
Venous thromboembolism (VTE) is a severe complication that can occur after major orthopedic procedures. As VTE-related morbidity and mortality are a significant concern for both medical professionals and patients, and preventative measures are typically employed. Multiple organizations, including the American College of Chest Physicians (ACCP) and the American Academy of Orthopedic Surgeons (AAOS), have developed guidelines for VTE prophylaxis specifically in patients undergoing joint replacement procedures. However, recently, the International Consensus Meeting (ICM) was convened, which brought together over 600 experts from 68 countries and 135 international societies. These experts, spanning a range of medical disciplines including orthopedic surgery, anesthesia, cardiology, hematology, vascular, and internal medicine, conducted a comprehensive review of the literature using a strict Delphi process to generate practical recommendations for VTE prophylaxis across all types of orthopedic procedures. This review article summarizes some of the recommendations of the ICM.
静脉血栓栓塞症（VTE）是一种严重的并发症，可能发生在大型骨科手术后。由于 VTE 相关的发病率和死亡率是医疗专业人员和患者都非常关注的问题，因此通常会采取预防措施。包括美国胸科医师学会（ACCP）和美国矫形外科医师学会（AAOS）在内的多个组织已经制定了针对接受关节置换手术患者的 VTE 预防指南。然而，最近召开了国际共识会议（ICM），来自 68 个国家和 135 个国际协会的 600 多名专家齐聚一堂。这些专家涵盖了骨科手术、麻醉、心脏病学、血液学、血管和内科等多个医学学科，他们使用严格的 Delphi 流程对文献进行了全面审查，为所有类型的骨科手术制定了实用的 VTE 预防建议。本文总结了 ICM 的一些建议。
