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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(04): 426-431
DOI: 10.1055/s-0039-1698798
Artigos Originais
Joelho

Venous Thromboembolism Prevention Protocol: Experience of 2,000 Cases in Total Knee Arthroplasty*

Article in several languages: português | English
Lúcio Honório de Carvalho Júnior
1   Grupo de Joelho, Serviço de Ortopedia e Traumatologia, Hospital Madre Teresa, Belo Horizonte, MG, Brasil
2   Departamento de Medicina, Pontifícia Universidade Católica, Belo Horizonte, MG, Brasil
,
Matheus de Almeida Correa
1   Grupo de Joelho, Serviço de Ortopedia e Traumatologia, Hospital Madre Teresa, Belo Horizonte, MG, Brasil
,
Matheus Rezende Lima
2   Departamento de Medicina, Pontifícia Universidade Católica, Belo Horizonte, MG, Brasil
,
Camila Barreto Silvestre
2   Departamento de Medicina, Pontifícia Universidade Católica, Belo Horizonte, MG, Brasil
,
Victor Ferreira Almeida
2   Departamento de Medicina, Pontifícia Universidade Católica, Belo Horizonte, MG, Brasil
,
Eduardo Frois Temponi 
1   Grupo de Joelho, Serviço de Ortopedia e Traumatologia, Hospital Madre Teresa, Belo Horizonte, MG, Brasil
2   Departamento de Medicina, Pontifícia Universidade Católica, Belo Horizonte, MG, Brasil
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Abstract

Objective The objective of the present study is to evaluate the impact evaluate the impact of an institutional protocol on a tertiary hospital for the prevention of venous thromboembolism in 2005 patients submitted to primary total knee arthroplasty (TKA).

Methods Data from medical records of patients submitted TKA before (n = 1,115) and after (n = 890) the implementation of the institutional protocol, totaling 2,005 patients, were retrospectively reported. Demographics, comorbidities, and outcomes were analyzed.

Results There was no significant change in the cases of deep venous thrombosis (DVT) (1.6% versus 2.4%; p = 0.211). There was an increase in cases of pulmonary embolism (PE) (0.2% versus 0.8% p = 0.049).

Conclusion Despite the implementation of the prevention protocol, no reduction in the studied events was observed. The small global incidence makes further studies with larger series necessary to confirm or rule out these findings.

Keywords

thromboembolism/complications - arthroplasty, replacement, knee - risk factors

Work conducted at the Hospital Madre Teresa, Belo Horizonte, state of Minas Gerais, Brazil.




Publication History

Received: 30 December 2018

Accepted: 18 July 2019

Article published online:
13 December 2019

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda
Rio de Janeiro, Brazil

 

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