Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients With Thoracolumbar Spine Trauma: Prophylaxis and Treatment of Thromboembolic Events
Autor: | Sanjay S. Dhall, Daniel J. Hoh, P B Raksin, Craig H. Rabb, James S. Harrop, Paul A. Anderson, Paul M. Arnold, Kurt M Eichholz, Sheeraz A. Qureshi, Michael G. Kaiser, Andrew T. Dailey, John E. O'Toole, John H. Chi |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Evidence-based practice Neurosurgery Guidelines as Topic Thoracic Vertebrae 03 medical and health sciences 0302 clinical medicine Lumbar Thromboembolism Humans Medicine cardiovascular diseases Spinal cord injury Spinal Cord Injuries Evidence-Based Medicine Lumbar Vertebrae business.industry General surgery Anticoagulants Evidence-based medicine Guideline equipment and supplies medicine.disease Pulmonary embolism Venous thrombosis Regimen Spinal Injuries 030220 oncology & carcinogenesis Spinal Fractures Surgery Neurology (clinical) business 030217 neurology & neurosurgery |
Zdroj: | Neurosurgery. 84:E39-E42 |
ISSN: | 1524-4040 0148-396X |
Popis: | Question 1 Does routine screening for deep venous thrombosis prevent pulmonary embolism (or venous thromboembolism (VTE)-associated morbidity and mortality) in patients with thoracic and lumbar fractures? Recommendation 1 There is insufficient evidence to recommend for or against routine screening for deep venous thrombosis in preventing pulmonary embolism (or VTE-associated morbidity and mortality) in patients with thoracic and lumbar fractures. Strength of Recommendation: Grade Insufficient. Question 2 For patients with thoracic and lumbar fractures, is one regimen of VTE prophylaxis superior to others with respect to prevention of pulmonary embolism (or VTE-associated morbidity and mortality)? Recommendation 2 There is insufficient evidence to recommend a specific regimen of VTE prophylaxis to prevent pulmonary embolism (or VTE-associated morbidity and mortality) in patients with thoracic and lumbar fractures. Strength of Recommendation: Grade Insufficient. Question 3 Is there a specific treatment regimen for documented VTE that provides fewer complications than other treatments in patients with thoracic and lumbar fractures? Recommendation 3 There is insufficient evidence to recommend for or against a specific treatment regimen for documented VTE that would provide fewer complications than other treatments in patients with thoracic and lumbar fractures. Strength of Recommendation: Grade Insufficient. Recommendation 4 Based on published data from pooled (cervical and thoracolumbar) spinal cord injury populations, the use of thromboprophylaxis is recommended to reduce the risk of VTE events in patients with thoracic and lumbar fractures. Consensus Statement by the Workgroup The full version of the guideline can be reviewed at: https://www.cns.org/guideline-chapters/congress-neurological-surgeons-systematic-review-evidence-based-guidelines/chapter_7. |
Databáze: | OpenAIRE |
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