Key result
Application of the AAOS guidelines was associated with a significantly higher compliance rate for chemical venous thromboembolism prophylaxis (74.1%) compared to the ACCP guidelines (67.0%) in high-risk orthopedic surgery patients.
Why the study?
Proper venous thromboembolism prophylaxis in orthopedic surgery is significant to prevent fatal complications, warranting a comparison of prevention rates between two clinical guidelines.
Does the AAOS guideline compared to the ACCP guideline improve the rate of prevention of venous thromboembolism in patients undergoing orthopedic surgery for artificial joint arthroplasty and hip joint fracture?
Cohort (n=820)
No
Does the AAOS guideline compared to the ACCP guideline improve the rate of prevention of venous thromboembolism in patients undergoing orthopedic surgery for artificial joint arthroplasty and hip joint fracture?
Answers are grounded in this paper and cite their sources.
Supports VTE guideline adherence in high-risk orthopedic patients; leaves open which of ACCP or AAOS yields superior prevention rates.
Purpose: To compare and analyze the rate of prevention of two venous thromboembolism prophylaxis guidelines in patients with artificial joint arthroplasty and hip joint fracture. Proper prophylaxis for preventing thromboembolism in orthopedic surgery is significant because of this fetal complication. Materials and Methods: This study compared and retrospective analyzed the rate of prevention using the medical records and radiographs of patients who underwent orthopedic surgery from March 2009 to February 2011 according to the American College of Chest Physicians (ACCP) guidelines and from March 2012 to February 2014 according to the American Academy of Orthopedic Surgeons (AAOS) guidelines.
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Suh et al. (2019) conducted a cohort in High-risk orthopedic surgery (artificial joint arthroplasty and hip joint fracture) (n=820). AAOS guidelines for VTE prophylaxis vs. ACCP guidelines for VTE prophylaxis was evaluated on Compliance rate of chemical venous thromboembolism prophylaxis (p=<0.001). Application of the AAOS guidelines was associated with a significantly higher compliance rate for chemical venous thromboembolism prophylaxis (74.1%) compared to the ACCP guidelines (67.0%) in high-risk orthopedic surgery patients.
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