Literature DB >> 1912884

Orthopaedic surgeons and thromboprophylaxis.

M D Laverick1, S A Croal, R A Mollan.   

Abstract

OBJECTIVE: To assess attitudes to the use of thromboprophylaxis among orthopaedic surgeons in the United Kingdom. DESIGN AND
SUBJECTS: Single page postal questionnaire to all 926 active orthopaedic surgeons who are members of the British Orthopaedic Association.
RESULTS: The response rate was 70% (659 surgeons), of whom 595 (90%) used some form of prophylaxis. Most (548; 83%) used drugs but 47 (7%) used only elasticated stockings. A history of thromboembolic disease, hip surgery, and obesity was seen as the main risk factor. Ineffectiveness was the principal reason for not using prophylaxis.
CONCLUSIONS: Most orthopaedic surgeons use regimens of thromboprophylaxis, though many of these are of limited value. Improvements in the efficacy and safety of prophylactic agents, combined with ease of administration, would increase the use of such agents and make orthopaedic surgery safer for the patient.

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Year:  1991        PMID: 1912884      PMCID: PMC1670906          DOI: 10.1136/bmj.303.6802.549

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  16 in total

1.  Total hip replacement and antithrombotic prophylaxis.

Authors:  I J Brenkel; M J Clancy
Journal:  Br J Hosp Med       Date:  1989-10

2.  Hydroxychloroquine sulfate prophylaxis for pulmonary embolism for patients with low-friction arthroplasty.

Authors:  R Johnson; J R Loudon
Journal:  Clin Orthop Relat Res       Date:  1986-10       Impact factor: 4.176

3.  Total hip replacement and deep vein thrombosis. A venographic and necropsy study.

Authors:  A Planès; N Vochelle; M Fagola
Journal:  J Bone Joint Surg Br       Date:  1990-01

4.  Radiological diagnosis of deep vein thrombosis.

Authors:  G Whitehouse
Journal:  Br Med J (Clin Res Ed)       Date:  1987-10-03

5.  Deep vein thrombosis after elective knee surgery. An incidence study in 312 patients.

Authors:  M D Stringer; C A Steadman; A R Hedges; E M Thomas; T R Morley; V V Kakkar
Journal:  J Bone Joint Surg Br       Date:  1989-05

6.  Prevention of thromboembolic disease after elective surgery of the hip.

Authors:  C M Evarts; E J Feil
Journal:  J Bone Joint Surg Am       Date:  1971-10       Impact factor: 5.284

Review 7.  Postphlebitic syndrome after fractures of the leg.

Authors:  J H Wolfe
Journal:  Br Med J (Clin Res Ed)       Date:  1987-11-28

8.  Deep-vein thrombosis following total knee replacement. An analysis of six hundred and thirty-eight arthroplasties.

Authors:  B N Stulberg; J N Insall; G W Williams; B Ghelman
Journal:  J Bone Joint Surg Am       Date:  1984-02       Impact factor: 5.284

9.  Dihydroergotamine/heparin in the prevention of deep-vein thrombosis after total hip replacement. A controlled, prospective, randomized multicenter trial.

Authors:  N E Beisaw; A J Comerota; H E Groth; G J Merli; H H Weitz; R C Zimmerman; F J Diserio; A A Sasahara
Journal:  J Bone Joint Surg Am       Date:  1988-01       Impact factor: 5.284

10.  Enoxaparine low molecular weight heparin: its use in the prevention of deep venous thrombosis following total hip replacement.

Authors:  A Planes; N Vochelle; J Ferru; D Przyrowski; J Clerc; M Fagola; M Planes
Journal:  Haemostasis       Date:  1986
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  14 in total

1.  Some limits to evidence-based medicine: a case study from elective orthopaedics.

Authors:  E Ferlie; M Wood; L Fitzgerald
Journal:  Qual Health Care       Date:  1999-06

2.  Major orthopaedic surgery on the leg and thromboembolism.

Authors:  J Parker-Williams; R Vickers
Journal:  BMJ       Date:  1991-09-07

3.  Orthopaedic surgeons and thromboprophylaxis.

Authors: 
Journal:  BMJ       Date:  1991-11-09

4.  Orthopaedic surgeons and thromboprophylaxis.

Authors: 
Journal:  BMJ       Date:  1991-10-12

Review 5.  Risk of and prophylaxis for venous thromboembolism in hospital patients. Thromboembolic Risk Factors (THRIFT) Consensus Group.

Authors: 
Journal:  BMJ       Date:  1992-09-05

Review 6.  Unresolved issues in the prevention of venous thromboembolism.

Authors:  T Baglin
Journal:  Drugs       Date:  1996       Impact factor: 9.546

7.  Efficacy and safety of postdischarge administration of enoxaparin in the prevention of deep venous thrombosis after total hip replacement. A prospective randomised double-blind placebo-controlled trial.

Authors:  A Planes; N Vochelle; J Y Darmon; M Fagola; M Bellaud; D Compan; E Saliba; N Weisslinger; Y Huet
Journal:  Drugs       Date:  1996       Impact factor: 9.546

8.  Current practice in primary total hip replacement: results from the National Hip Replacement Outcome Project.

Authors:  A J Best; D Fender; W M Harper; A W McCaskie; K Oliver; P J Gregg
Journal:  Ann R Coll Surg Engl       Date:  1998-09       Impact factor: 1.891

9.  Current UK opinion on thromboprophylaxis in orthopaedic surgery: its use in routine total hip and knee arthroplasty.

Authors:  A J Unwin; J R Jones; W J Harries
Journal:  Ann R Coll Surg Engl       Date:  1995-09       Impact factor: 1.891

10.  Multicentre hospital drug utilization study on the prophylaxis of venous thromboembolism. The Venous Thromboembolism Study Group of the Spanish Society of Clinical Pharmacology.

Authors:  J A Vallès; A Vallano; F Torres; J M Arnau; J R Laporte
Journal:  Br J Clin Pharmacol       Date:  1994-03       Impact factor: 4.335

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