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Deep Venous Thrombosis in the Operative Rehabilitation Patient

  • Jonathan WeiswasserEmail author
Chapter

Abstract

Venous thromboembolic disease remains a particularly common source of morbidity in hospitalized patients and is considered one of the most common preventable causes of hospital death, accounting for 50–75,000 of the 200,000 venous thromboembolic (VTE) deaths per year in the USA [1]. The principal determinant of VTE risk seems to be the patient’s indication for hospitalization; hence, all studies of this risk have been based upon comparison of different groups based on a group risk assignment. Moreover, most thrombophylaxis trials have employed venous imaging and invasive venograms as a marker for DVT, rather than symptoms, duplex findings, pulmonary embolism (PE), or fatal PE. The goal of thrombophylaxis in patients undergoing any type of surgery must therefore be to accurately assess DVT risk, understand the types and benefit of therapy, and balance the benefit of prophylaxis with the associated risk of complications, namely, bleeding.

Keywords

Pulmonary Embolism Intermittent Pneumatic Compression Fatal Pulmonary Embolism Principal Determinant Venous Thromboembolic Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

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    Gould MK, Garcia DA, Wren SM, et al. Prevention of VTE in nonorthopedic surgical patients. Chest. 2012;141(2 Suppl):e227S–77s.CrossRefPubMedPubMedCentralGoogle Scholar
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    Heit JA, Silverstein MD, Mohr DN, et al. Risk factors for deep vein thrombosis and pulmonary embolism. Arch Intern Med. 2000;160:809–15.CrossRefPubMedGoogle Scholar
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    Masuda M, Ueta T, Shiba K, et al. D-dimer screening for deep venous thrombosis in traumatic cervical spinal injuries. Spine J. 2015;15:2338–44.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.The Plastic Surgery CenterInstitute for Advanced ReconstructionShrewsburyUSA

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