Travmatologiâ i Ortopediâ Rossii (Sep 2016)
Analysis of drug prevention of venous thromboembolic complications in hip arthroplasty (review)
Abstract
The retrospective analysis of 131 medical records of patients who underwent surgery for total hip arthroplasty in two large hospitals in Krasnoyarsk in 2013 was made. All patients received anticoagulants for the purpose of thromboprophylaxis. In the structure of these drugs prevails prescriptions anticoagulant with a low risk of bleeding, requiring no laboratory control, such as low molecular weight heparins and direct oral anticoagulants. The assessment of anticoagulant dosing regimens revealed defects related to non-compliance as a single dose and duration of use after discharge from hospital. To eliminate the detected defects is necessary to conduct training seminars, the approval of the local protocol of prevention and formation of the VTEC system audit.