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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 159 - 167 (9page)
이용수
이 논문의 연구 히스토리 (2)
2017
Preoperative Prevalence of and Risk Factors for Venous Thromboembolism in Patients with a Hip Fracture : An Indirect Multidetector CT Venography Study
신원철
의학과
2017.01
학위논문
Recent Updates of the Diagnosis and Prevention of Venous Thromboembolism in Patients with a Hip Fracture
신원철
,
이상민
,
서근택
Hip and Pelvis
2017.01
학술저널
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초록· 키워드
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Venous thromboembolism (VTE) is a potentially fatal complication that is relatively common after hip surgery. Since patients with a hip fracture have a higher risk of preoperative VTE due to an inability to ambulate after injury and aggravation of underlying age-related conditions, it may be difficult to effectively prevent VTE using only conventional approaches. Very few studies have been published reporting on the prevalence and prevention of VTE in patients with a hip fracture compared to those with hip arthroplasty. For this reason, we aimed to share recent updates on the diagnosis and prevention of VTE in patients with a hip fracture. Preoperative screening tests to diagnose VTE need to be performed more actively following hip fracture and indirect multidetector computed tomography venography is considered the most effective test for this purpose. As the risk of VTE appears to increase with time following a hip fracture, preventive measures should be taken as soon as possible in patients with a hip fracture. A wide variety of mechanical and pharmacological options are available for prophylaxis. When considering patient compliance and preventive impact, intermittent pneumatic compression devices and foot pumps are recommended as mechanical modalities. Of the available preventive medications for patients with a hip fracture, low molecular weight heparin seems to be the most appropriate option because of its short half-life and fast onset of action. Surgery should be performed as soon as possible in patients with hip fractures, and we recommend mechanical and pharmacological methods as active interventions immediately after injury to prevent VTE.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Agnelli G / 1992 / A randomised, double-blind, placebo-controlled trial of dermatan sulphate for prevention of deep vein thrombosis in hip fracture / Thromb Haemost 67 : 203
Falck-Ytter Y / 2012 / Prevention of VTE in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Ev
Geerts WH / 1994 / A prospective study of venous thromboembolism after major trauma / N Engl J Med 331 : 1601 ~ 1606
Girasole GJ / 1994 / Diagnosis of deep vein thrombosis in elderly hip-fracture patients by using the duplex scanning technique / Orthop Rev 23 : 411 ~ 416
Hamilton HW / 1970 / Venous thrombosis in patients with fracture of the upper end of the femur. A phlebographic study of the effect of prophylactic anticoagulation / J Bone J
Falck-Ytter Y / 2012 / Prevention of VTE in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Ev
Geerts WH / 1994 / A prospective study of venous thromboembolism after major trauma / N Engl J Med 331 : 1601 ~ 1606
Girasole GJ / 1994 / Diagnosis of deep vein thrombosis in elderly hip-fracture patients by using the duplex scanning technique / Orthop Rev 23 : 411 ~ 416
Hamilton HW / 1970 / Venous thrombosis in patients with fracture of the upper end of the femur. A phlebographic study of the effect of prophylactic anticoagulation / J Bone J
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