MARC details
000 -LEADER |
fixed length control field |
02982nam a22003617a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
211101s20212021 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
1750-4589 |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
34301162 |
245 ## - TITLE STATEMENT |
Title |
The risks and benefits of early venous thromboembolism prophylaxis after elective spinal surgery: A single-centre experience. |
251 ## - Source |
Source |
Journal of Perioperative Practice. :17504589211002070, 2021 Jul 23 |
252 ## - Abbreviated Source |
Abbreviated source |
J Perioper Pract. :17504589211002070, 2021 Jul 23 |
253 ## - Journal Name |
Journal name |
Journal of perioperative practice |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2021 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2022 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
aheadofprint |
266 ## - Date added to catalog |
Date added to catalog |
2021-11-01 |
520 ## - SUMMARY, ETC. |
Abstract |
BACKGROUND: There is a wide ranging incidence of venous thromboembolism after surgery and it continues to be a major cause of morbidity after spinal procedures. This study's aim was to investigate the relationship between timing and administration of venous thromboembolism (VTE) pharmacologic chemoprophylaxis after spinal surgery and the resulting VTE and bleeding complications by reviewing current practices and outcomes at a high-volume single institution to better define opportunities for perioperative intervention to prevent VTE without increasing bleeding complications. |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSION: Patients undergoing elective spinal surgery who received anticoagulation within 24h of the conclusion of their procedure had an 81% reduction in the odds of developing a deep vein thrombosis within 30 days with no significant difference in bleeding complications. |
520 ## - SUMMARY, ETC. |
Abstract |
METHODS: All patients who underwent elective one or two-stage lumbar spinal fusion procedures were identified. A logistic regression was used to evaluate (1) risk of symptomatic VTE within 30 days of surgery and (2) bleeding-related complications. The odds of developing a VTE as well as bleeding-related complications were compared among the three treatment groups: no chemoprophylaxis, chemoprophylaxis < 24h of surgery and chemoprophylaxis given > 24h post-surgery. |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: When adjusted for doses administered, the odds of developing a postoperative VTE within 30 days were 0.189 (95% confidence interval (0.044, 0.808)) in patients who received anticoagulation < 24h postoperatively, compared to those who received no anticoagulation (p = 0.025). There was no difference in bleeding rates. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION |
Department |
Surgery/Vascular Surgery |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Kiguchi, Misaki M |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Woo, Edward Y |
790 ## - Authors |
All authors |
Earls B, Freedman E, Ives AL, Kiguchi MM, Mo F, Pan-Chen S, Rungkitwattanakul D, Schobel H, TenEyck E, Woo EY |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1177/17504589211002070">https://dx.doi.org/10.1177/17504589211002070</a> |
Public note |
https://dx.doi.org/10.1177/17504589211002070 |
858 ## - ORCID |
ORCID text |
Kiguchi, Misaki M |
Orcid |
<a href="https://orcid.org/0000-0001-6132-6408">https://orcid.org/0000-0001-6132-6408</a> |
Name |
https://orcid.org/0000-0001-6132-6408 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |