Analysis of drug prevention of venous thromboembolic complications in hip arthroplasty (review)

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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.

About the authors

E. N. Bochanova

V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University

Author for correspondence.
Email: bochanova@list.ru
Russian Federation

M. A. Belousov

N.S. Karpovich Krasnoyarsk Interdistrict Clinical Emergency Hospital

Email: noemail@neicon.ru
Russian Federation

S. A. Bozhkova

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: noemail@neicon.ru
Russian Federation

O. F. Veselova

V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University

Email: noemail@neicon.ru
Russian Federation

N. I. Golovina

Krasnoyarsk Territory Clinical Hospital

Email: noemail@neicon.ru
Russian Federation

D. E. Zdzitovetsky

V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University

Email: noemail@neicon.ru
Russian Federation

A. M. Lubnin

V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University

Email: noemail@neicon.ru
Russian Federation

A. A. Shchukin

Krasnoyarsk Territory Clinical Hospital

Email: noemail@neicon.ru
Russian Federation

References

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  3. Гарифуллов Г.Г., Коваленко А.Н. Антикоагулянтная профилактика тромбоэмболических осложнений при эндоротезировании тазобедренного сустава. Практическая медицина. 2010; (8):89-92.
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  8. Samama C.M., Ravaud P., Parent F., Barré J., Mertl P., Mismetti P. Epidemiology of venous thromboembolism after lower limb arthroplasty: the FOTO study. J Thromb Haemost. 2007; 5(12):2360-2367.
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