{"title":"无机械或化学预防的脊柱大手术后深静脉血栓的发生率。","authors":"Sreedharan Namboothiri","doi":"10.1055/s-0032-1327807","DOIUrl":null,"url":null,"abstract":"<p><strong>Study design: </strong> Retrospective cohort study.</p><p><strong>Clinical question: </strong> What is the incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE) after major spine surgery when no prophylactic measures were used?</p><p><strong>Methods: </strong> A prospective evaluation of 121 patients who underwent 128 major spine surgeries was conducted to determine the incidence of clinically identifiable DVT. As a matter of practice, no patient was given thromboprophylaxis, either mechanical or chemical.</p><p><strong>Results: </strong> Only one patient developed the signs and symptoms of DVT, which was further confirmed by a Doppler study. The overall incidence of DVT was 0.78%. There was no clinically evident case of PE.</p><p><strong>Conclusions: </strong> Considering the low rate of incidence of DVT and PE, routine screening and prophylaxis for DVT appears unwarranted in major spine surgery. [Table: see text].</p>","PeriodicalId":89675,"journal":{"name":"Evidence-based spine-care journal","volume":" ","pages":"29-33"},"PeriodicalIF":0.0000,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0032-1327807","citationCount":"8","resultStr":"{\"title\":\"Incidence of deep vein thrombosis after major spine surgeries with no mechanical or chemical prophylaxis.\",\"authors\":\"Sreedharan Namboothiri\",\"doi\":\"10.1055/s-0032-1327807\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Study design: </strong> Retrospective cohort study.</p><p><strong>Clinical question: </strong> What is the incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE) after major spine surgery when no prophylactic measures were used?</p><p><strong>Methods: </strong> A prospective evaluation of 121 patients who underwent 128 major spine surgeries was conducted to determine the incidence of clinically identifiable DVT. As a matter of practice, no patient was given thromboprophylaxis, either mechanical or chemical.</p><p><strong>Results: </strong> Only one patient developed the signs and symptoms of DVT, which was further confirmed by a Doppler study. The overall incidence of DVT was 0.78%. There was no clinically evident case of PE.</p><p><strong>Conclusions: </strong> Considering the low rate of incidence of DVT and PE, routine screening and prophylaxis for DVT appears unwarranted in major spine surgery. [Table: see text].</p>\",\"PeriodicalId\":89675,\"journal\":{\"name\":\"Evidence-based spine-care journal\",\"volume\":\" \",\"pages\":\"29-33\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2012-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1055/s-0032-1327807\",\"citationCount\":\"8\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Evidence-based spine-care journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1055/s-0032-1327807\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Evidence-based spine-care journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/s-0032-1327807","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Incidence of deep vein thrombosis after major spine surgeries with no mechanical or chemical prophylaxis.
Study design: Retrospective cohort study.
Clinical question: What is the incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE) after major spine surgery when no prophylactic measures were used?
Methods: A prospective evaluation of 121 patients who underwent 128 major spine surgeries was conducted to determine the incidence of clinically identifiable DVT. As a matter of practice, no patient was given thromboprophylaxis, either mechanical or chemical.
Results: Only one patient developed the signs and symptoms of DVT, which was further confirmed by a Doppler study. The overall incidence of DVT was 0.78%. There was no clinically evident case of PE.
Conclusions: Considering the low rate of incidence of DVT and PE, routine screening and prophylaxis for DVT appears unwarranted in major spine surgery. [Table: see text].
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