Article information
Objetivo
Cuantificar la profilaxis tromboembólica en la cirugía de cadera y determinar su calidad.
Diseño experimentalEstudio retrospectivo de utilización de medicamentos, del tipo indicación-prescripción. Las variables principales fueron: realización o no de tromboprofilaxis, tipo de la misma (fármaco, dosis y tiempo) y cualidad (correcta, incorrecta y dudosa).
ResultadosLa profilaxis tromboembólica se indicó en el 91,3% de los pacientes (p < 0,05). Los fármacos utilizados más frecuentemente fueron las heparinas de bajo peso molecular (p < 0,001). La calidad de la profilaxis fue incorrecta en el 63,3% (p < 0,001), dudosa en el 28,3% y correcta en el 8,4%.
ConclusionesLos cirujanos ortopédicos conocen la indicación de tromboprofilaxis en los pacientes operados de cadera y la prescriben, aunque no siguen unánimemente las recomendaciones aceptadas internacionalmente para su realización.
Palabras clave:
trombosis
venosa
profunda
heparina
tromboprofilaxis
cirugía
cadera
Objective
To quantify thromboembolic prophylaxis in hip surgery and evaluate its quality.
Experimental designRetrospective study of the indications and prescription of medication. The principal variables were use or non-use of thromboembolic prophylaxis, type of prophylaxis (drug, dose, and time), and quality (correct, incorrect, dubious).
ResultsThromboembolic prophylaxis was indicated in 91.3% of patients (p < 0.05). The drugs used most often were low-molecular-weight heparins (p < 0.001). The quality of prophylaxis was incorrect in 63.3% (p < 0.001), dubious in 28.3% and correct in 8.4%.
ConclusionsOrthopedic surgeons are aware of the indication for thromboprophylaxis in patients undergoing hip surgery and prescribe drugs for this purpose, but they do not all follow internationally accepted recommendations for the use of these medicinal products.
Key words:
thrombosis
venous
deep
heparin
thromboprophylaxis
surgery
hip
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