Limited diagnostic workup for deep vein thrombosis after major joint surgery: Findings from a prospective, multicentre, cohort study

Thrombosis and Haemostasis

Volumn 99, Issue 6, 2008, Pages 1112-1115

  Monreal, Manuel ^a   Peidro, Luis ^b   Resines, Carlos ^c   Garcés, Carlos ^d   Fernández, José Luís ^e   Garagorri, Eduardo ^f   González, Juan Carlos ^g  

^a HOSPITAL UNIVERSITARI GERMANS TRIAS I PUJOL   (Spain)

^b HOSPITAL CLÍNIC   (Spain)

^c HOSPITAL UNIVERSITARIO 12 DE OCTUBRE   (Spain)

^d HOSPITAL UNIVERSITARIO MARQUÉS DE VALDECILLA   (Spain)

^e HOSPITAL XERAL CÍES   (Spain)

^f HOSPITAL RAMÓN Y CAJAL   (Spain)

^g HOSPITAL GENERAL UNIVERSITARIO DE ALBACETE   (Spain)

Author keywords

Joint surgery; Prophylaxis; Screening; Ultrasonography; Venous thromboembolism

Indexed keywords

LOW MOLECULAR WEIGHT HEPARIN;

ADULT; AGED; ARTICLE; CAUSE OF DEATH; CLINICAL TRIAL; COHORT ANALYSIS; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEEP VEIN THROMBOSIS; DIAGNOSTIC ACCURACY; ECHOGRAPHY; FEMALE; FOLLOW UP; HIP SURGERY; HUMAN; JOINT SURGERY; KNEE SURGERY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MULTICENTER STUDY; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; VENOUS THROMBOEMBOLISM;

ADULT; AGED; AGED, 80 AND OVER; ARTHROPLASTY, REPLACEMENT, HIP; ARTHROPLASTY, REPLACEMENT, KNEE; EDEMA; FEMALE; FRACTURE FIXATION; HIP FRACTURES; HUMANS; MALE; MIDDLE AGED; PHYSICAL EXAMINATION; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; PULMONARY EMBOLISM; SENSITIVITY AND SPECIFICITY; SPAIN; TIME FACTORS; TREATMENT OUTCOME; VENOUS THROMBOSIS;

EID: 44949240376     PISSN: 03406245     EISSN: None     Source Type: Journal    
DOI: 10.1160/TH08-02-0115     Document Type: Article

References (17)

1. Geerts WH, Pineo GF, Heit JA, et al. Prevention of venous thromboembolism. The Seventh ACCP Conference on antithrombotic and thrombolytic therapy. Chest 2004; 126: 338S-400S.
2. Mohr D, Silverstein M, Murtaugh P, Harrison J. Prophylactic agents for venous thrombosis in elective hip surgery: Meta-analysis of studies using venographic assessment. Arch Intern Med 1993; 153: 2221-2228.
3. White RH, Romano PS, Zhou H, et al. Incidence and time course of thromboembolic outcomes following total hip or knee arthroplasty. Arch Intern Med 1998; 158: 1525-1531.
4. Quinlan DJ, Eikelboom JW, Dahl OE, et al. Association between asymptomatic deep vein thrombosis detected by venography and symptomatic venous thromboembolism in patients undergoing elective hip or knee surgery. J Thromb Haemost 2007; 5: 1438-1443.
5. Eriksson BI, Bauer KA, Lassen MR, et al., for the Steering Committee of the Pentasaccharide in Hip Fracture Surgery Study. Fondaparinux compared with enoxaparin for the prevention of venous thromboembolism after hip-fracture surgery. N Engl J Med 2001; 345: 1298-1304.
6. Bauer KA, Eriksson BI, Lassen MR, et al., for the Steering Committee of the Pentasaccharide in Major Knee Surgery Study. Fondaparinux compared with enoxaparin for the prevention of venous thromboembolism after elective major knee surgery. N Engl J Med 2001; 345: 1305-1310.
7. Planes A, Vochelle N, Darmon JY, et al. Risk of deep venous thrombosis after hospital discharge in patients having undergone total hip replacement: double-blind randomized comparison of enoxaparin versus placebo. The Lancet 1996; 348: 224-228.
8. Bergqvist D, Benoni G, Bjorgell O, et al. Low-molecular-weight heparin (enoxaparin) as prophylaxis against venous thromboembolism after total hip replacement. N Engl J Med 1996; 335: 696-700.
9. Monreal M, Lafoz E, Roca J, et al. Platelet count, antiplatelet therapy and pulmonary embolism. A prospective study in patients with hip surgery. Thromb Haemost 1995; 73: 380-385.
10. Wells PS, Lensing AWA, Davidson BL, et al. Accuracy of ultrasound for diagnosis of deep venous thrombosis in asymptomatic patients after orthopedic surgery. A meta-analysis. Ann Intern Med 1995; 122: 47-53.
11. Robinson KS, Anderson DR, Gross M, et al. Ultrasonographic screening before hospital discharge for deep venous thrombosis after arthroplasty: the post-arthroplasty screening study. A randomized, controlled trial. Ann Intern Med 1997; 127: 439-445.
12. Leclerc JR, Gent M, Hirsh J, et al., for the Canadian Collaborative Group. The incidence of symptomatic venous thromboembolism during and after prophylaxis with enoxaparin. A multi-institutional cohort study of patients who underwent hip or knee arthroplasty. Arch Intern Med 1998; 158: 873-878.
13. Verlato F, Bruchi O, Prandoni P, et al., for the WODOS Investigators Group. The value of ultrasound screening for proximal vein thrombosis after total hip arthroplasty. A prospective cohort study. Thromb Haemost 2001; 86: 534-537.
14. Prandoni P, Bruchi O, Sabbion P, et al. Prolonged thromboprophylaxis with oral anticoagulants after total hip arthroplasty. A prospective controlled randomized study. Arch Intern Med 2002; 162: 1966-1971.
15. Schmidt B, Michler R, Klein M, et al. Ultrasound screening for distal vein thrombosis is not beneficial after major orthopedic surgery. A randomized controlled trial. Thromb Haemost 2003; 90: 949-954.
16. Schellong SM, Beyer J, Kakkar AK, et al. Ultrasound screening for asymptomatic deep vein thrombosis after major orthopaedic surgery: the VENUS study. J Thromb Haemost 2007; 5: 14311437.
17. Bjornara BT, Gudmundsen TE, Dahl OE. Frequency of clinical venous thromboembolism after major joint surgery. J Bone Joint Surg (Br) 2006; 88B: 386-391.