incidence of deep vein thrombosis in patients undergoing degenerative spine surgery on prophylactic dalteparin; a single center report

نویسندگان

alireza farid moayer

navideh mohebali

ali razmkon

چکیده

objective: to determine the incidence of deep vein thrombosis (dvt) in patients undergoing spinal surgeries receiving prophylactic doses of deltaparin in a single center in central iran. method: this cross-sectional study was conducted in shariatee hospital of isfahan during a 12-month period. we included all the patients undergoing elective spinal surgeries in our center during the study period who received prophylactic dosages of subcutaneous dalteparin (5000 unit daily) the first postoperative day. those with absolute contraindications of anticoagulation therapy were not included in the study. patients were followed for 3 months clinically and the incidence of dvt was recorded. dvt was suspected clinically and was confirmed by color doppler sonography. results: overall we included 120 patients with mean age of 44.8 ± 12.6 years among whom there were 54 (45%) men and 66 (55%) women. lumbar discectomy (32.9%) and laminectomy (20.2%) were the most common performed procedures. dvt was detected in 1 (0.83%) patient in postoperative period. none of the patients developed pulmonary embolism and none hemorrhagic adverse event was recorded. the patient was treated with therapeutic unfractionated heparin and was discharged with warfarin.  conclusion: our results shows the efficacy of lmwh (dalteparin) in reducing the incidence of dvt to 0.83%. these results also show the safety of dalteparin in spine surgery because of lack of bleeding complication.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Incidence of Deep Vein Thrombosis in Patients Undergoing Degenerative Spine Surgery onProphylactic Dalteparin; A Single Center Report.

OBJECTIVE To determine the incidence of deep vein thrombosis (DVT)in patients undergoing spinal surgeries receiving prophylactic doses of Deltaparin in a single center in central Iran. METHOD This cross-sectional study was conducted in Shariatee hospital of Isfahan during a 12-month period. We included all the patients undergoing elective spinal surgeries in our center during the study period...

متن کامل

Incidence and Clinical Signs of Post Thrombotic Syndrome in Patients with Deep Vein Thrombosis in a Three-year Follow-up

Background and purpose: Despite extensive studies on prevention and management of deep vein thrombosis (DVT), less attention has been paid to chronic venous insufficiency. The persend study aimed to investegite the incidence and clinical signs of post thrombotic syndrome in patients with deep vein thrombosis. Materials and methods: A descriptive retrospective study was done in patients with DV...

متن کامل

Risk Factors of Deep Vein Thrombosis in Cancer Patients

Background: Venous thromboembolism (VTE) is a significant complication in cancer patients which was found in 4-20% of the patients. This study was aimed to evaluate risk factors of deep vein thrombosis (DVT) in cancer patients in an oncology center in Indonesia.  Methods: This was a retrospective cohort study. Data were obtained from medical records of adult cancer patients with DVT referring ...

متن کامل

Deep Vein Thrombosis as a rare complication of brucellosis

Background: Brucellosis can involve almost any organ system and may present with a broad spectrum of clinical presentations. In this study we present a case of deep vein thrombosis due to human brucellosis. Case Presentation: A 15 year old boy presented acute pain and swelling in his left thigh. When admitted to the hospital in june 2011, he complained of fever, chills and lowers extremity pai...

متن کامل

Prevalence and Risk Factors of Deep Vein Thrombosis in Patients Undergoing Lumbar Interbody Fusion Surgery

This cross-sectional study was designed to obtain the current prevalence of deep vein thrombosis (DVT) and analyze related risk factors in patients undergoing lumbar interbody fusion. Medical record data were collected from Department of Spinal Surgery, The Third Hospital of Hebei Medical University, between July 2014 and March 2015. Both univariate analysis and binary logistic regression analy...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
bulletin of emergency and trauma

جلد ۴، شماره ۱ JAN، صفحات ۳۸-۴۲

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023