妊娠相关静脉血栓栓塞风险感知和风险规避时期的预防——需要重大改变:评论

IF 4.3 1区 医学 Q1 OBSTETRICS & GYNECOLOGY
Laura A. Magee, Roopen Arya, Clare Boag, Luci Buxton, Matthew A. Coleman, Fizzah Jivraj, Rebecca Scott, Kayleigh Sheen, Sergio A. Silverio, Peter von Dadelszen
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引用次数: 0

摘要

2020年至2022年期间,在联合王国(UK)的200多万产妇中,有45名产妇死于静脉血栓栓塞(VTE)。尽管有广泛的风险评估和低分子肝素(LMWH)血栓预防处方,以及临床医生对风险的高估和对原因的承诺,但仍发生了这种情况。虽然每一个孕产妇死亡都是一个悲剧,但未来的挑战是巨大的,即以有效和一致的方式识别那些少数有生命危险的妇女血栓形成风险,然后通过孕妇和产后妇女可接受的具有成本效益的治疗将这种风险降至最低,并且弊大于利。我们提出了一个前进的方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Pregnancy-Related Venous Thromboembolism Risk Perception and Prevention in Risk-Averse Times—Significant Change Required: a Commentary

Pregnancy-Related Venous Thromboembolism Risk Perception and Prevention in Risk-Averse Times—Significant Change Required: a Commentary

Pregnancy-Related Venous Thromboembolism Risk Perception and Prevention in Risk-Averse Times—Significant Change Required: a Commentary

Pregnancy-Related Venous Thromboembolism Risk Perception and Prevention in Risk-Averse Times—Significant Change Required: a Commentary

Pregnancy-Related Venous Thromboembolism Risk Perception and Prevention in Risk-Averse Times—Significant Change Required: a Commentary

Between 2020 and 2022 in the United Kingdom (UK), there were 45 maternal deaths from venous thromboembolism (VTE), out of more than 2 million maternities. This occurred despite extensive risk assessment and prescribing of low molecular weight heparin (LMWH) thromboprophylaxis, alongside clinicians' overestimate of risk and commitment to the cause. Whilst every maternal death is a tragedy, the challenge ahead is immense—to identify, in an efficient and consistent way, those few women at risk of life-threatening thrombosis, and then minimise that risk with a cost-effective therapy that is acceptable to pregnant and postpartum women, and does not do more harm than good. We propose a way forward.

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来源期刊
CiteScore
10.90
自引率
5.20%
发文量
345
审稿时长
3-6 weeks
期刊介绍: BJOG is an editorially independent publication owned by the Royal College of Obstetricians and Gynaecologists (RCOG). The Journal publishes original, peer-reviewed work in all areas of obstetrics and gynaecology, including contraception, urogynaecology, fertility, oncology and clinical practice. Its aim is to publish the highest quality medical research in women''s health, worldwide.
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