지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 114 - 118 (5page)
이용수
초록· 키워드
오류제보하기
Objective : Venous thromboembolism (VTE) after spinal surgery affects a patients' postoperative recovery and also carries a mortality risk. Some studies recommended chemical prophylaxis for high-risk patients and for those after complex spinal surgeries. However, chemoprophylaxis for VTE in spinal surgery is underemployed and there is no agreement on the use of VTE prophylaxis in spinal surgery. The aim of this study was to document the incidence of VTE after an elective instrumental spinal surgery, among those receiving preoperative chemoprophylaxis as compared with patients who did not receive it. Methods : This study was carried out on eighty-nine patients allocated randomly to receive either low molecular weight heparin (LMWH) or no prophylaxis before elective instrumental spinal surgery. All patients received postoperative compression stockings. A compression Doppler ultrasonography was performed for all patients to detect postoperative deep vein thrombosis. In addition, further imaging studies were performed for patients suspected of VTE. Results : Three (3.3%) patients were diagnosed with VTE. One of them had received preoperative chemoprophylaxis. There were no significant difference in incidence of VTE between the two groups (p>0.95; 95% confidence interval, 0.06-8.7). Laterality of gender and postsurgical recumbence duration were all independent predictors of VTE (p=0.01 and p<0.001, respectively). Conclusion : The difference in the incidence of thromboembolic complications between the two groups was not significant. Moreover, we found that preoperative prophylactic LMWH injection has no major bleeding complications altering postoperative course; still, the issue concerning the initiation time of chemoprophylaxis in spinal surgery remains unclear.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Agnelli G. / 1998 / Enoxaparin plus compression stockings compared with compression stockings alone in the prevention of venous thromboembolism after elective neurosurgery / N Engl J Med 339:80~85
Anderson FA Jr. / 2003 / Risk factors for venous thromboembolism / Circulation 107(23 Suppl 1):9~16
Bono CM. / 2009 / An evidence-based clinical guideline for the use of antithrombotic therapies in spine surgery / Spine J 9:1046~1051
Cabana F. / 2000 / Postoperative compressive spinal epidural hematomas. 15 cases and a review of the literature / Rev Chir Orthop Reparatrice Appar Mot 86:335~345
Cunningham JE. / 2011 / Does preoperative DVT chemoprophylaxis in spinal surgery affect the incidence of thromboembolic complications and spinal epidural hematomas? / J Spinal Disord Tech 24:E31~E34
Anderson FA Jr. / 2003 / Risk factors for venous thromboembolism / Circulation 107(23 Suppl 1):9~16
Bono CM. / 2009 / An evidence-based clinical guideline for the use of antithrombotic therapies in spine surgery / Spine J 9:1046~1051
Cabana F. / 2000 / Postoperative compressive spinal epidural hematomas. 15 cases and a review of the literature / Rev Chir Orthop Reparatrice Appar Mot 86:335~345
Cunningham JE. / 2011 / Does preoperative DVT chemoprophylaxis in spinal surgery affect the incidence of thromboembolic complications and spinal epidural hematomas? / J Spinal Disord Tech 24:E31~E34
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