作者
Salvatore Chibbaro, Helene Cebula, Julien Todeschi, Marco Fricia, Doris Vigouroux, Houssem Abid, Houssen Kourbanhoussen, Raoul Pop, Beniamino Nannavecchia, Arthur Gubian, Lara Prisco, Gianfranco KI Ligarotti, Francois Proust, Mario Ganau
发表日期
2018/1/1
期刊
World neurosurgery
卷号
109
页码范围
e510-e516
出版商
Elsevier
简介
Background
The incidence of venous thromboembolism (VT) in neurosurgical practice is astonishingly high, representing a major cause of morbidity and mortality. Prophylaxis strategies include elastic stockings, low-molecular-weight heparin (LMWH), and intermittent pneumatic compression (IPC) devices.
Objective
To assess the safety and efficacy of 2 different VT prophylaxis protocols implemented in a European neurosurgical center.
Methods
All patients admitted for neurosurgical intervention between 2012 and 2016 were stratified as low, moderate, and high risk of VT and received a combination of elastic stockings and LMWH. The protocol was modified in 2014 with the inclusion of perioperative IPC devices for all patients and only in the high-risk group also postoperatively.
Results
At time of post-hoc analysis, data obtained from patients included in this study before 2014 (Protocol A, 3169 patients) were …
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S Chibbaro, H Cebula, J Todeschi, M Fricia… - World neurosurgery, 2018