Journal
JOURNAL OF ARTHROPLASTY
Volume 30, Issue 12, Pages 2299-2303Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2015.06.045
Keywords
deep venous thrombosis; pulmonary embolism; hip arthroplasty; thromboprophylaxis; bleeding
Categories
Ask authors/readers for more resources
This study's purpose was to present the use of a risk stratification protocol in which routine risk patients receive a mobile compression device with aspirin and high Fisk patients receive warfarin for thromboprophylaxis alter hip arthroplasty. 1859 hip arthroplasty patients were prospectively enrolled (1402 routine risk - 75.4%, 457 high risk - 24.6%). The cumulative rate of venous thromboembolism events was 0.5% in the routine versus 05% in the high-risk cohort within 6 weeks postoperatively (P = 1.00). Patients in the routine risk cohort had a lower rate of major bleeding (0.5% versus 2.0%, P = 0.006) and wound complications (0.2% versus 1.2%, P = 0.01). Use of our risk stratification protocol allowed the avoidance of more aggressive anticoagulation in 75% of patients while achieving a low overall incidence of symptomatic VTE. (C) 2015 Elsevier Inc. All rights reserved
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available