Another nail in the coffin of vena cava filters

Doyle, Andrew J.; Karunanithy, Narayan; Hunt, Beverley J.

doi:10.1002/bjs.11380

Journal of British Surgery

2020

DOI: 10.1002/bjs.11380

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Another nail in the coffin of vena cava filters

Andrew J. Doyle

Narayan Karunanithy

Beverley J. Hunt

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Cited by 2 publications

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“…Variation in surgical procedures is not a bad thing but patient outcomes may be unacceptably heterogeneous, especially when delivered beyond the intended use. Unwanted procedures or techniques with inferior outcomes 11 drive up healthcare costs 12 , but cessation may be challenging. As reported in 'choosing wisely' campaigns, standardization rarely involves stopping surgical procedures that may be display low value for healthcare systems.…”

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confidence: 99%

Standardization in surgery: friend or foe?

Skjold-Ødegaard

Søreide

2020

British Journal of Surgery

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confidence: 99%

Standardization in surgery: friend or foe?

Skjold-Ødegaard

Søreide

2020

British Journal of Surgery

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How I approach the prevention and treatment of thrombotic complications in hospitalized patients

Akpan

Hunt

2023

Blood

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This article uses case-based discussion to review prevention and management of thrombotic problems in hospitalized patients that involve a Clinical Hematologist. There is variation in the Clinical Hematologist's role in thrombosis practice across the world and have discussed this where indicated. Hospital-associated venous thromboembolism (VTE) or thrombosis (HAT), is the term to cover VTE occurring during admission and for 90 days post discharge and is a common patient safety problem. HATs are the most common cause of VTE accounting for 55-60% of all VTE, with an estimated 10 million occurring globally. VTE risk assessment alongside evidence-based thromboprophylaxis reduces this risk significantly. Many hospitalized patients, especially the elderly, are using direct oral anticoagulants (DOACs), mainly to prevent stroke in atrial fibrillation. DOACs require perioperative management and may need urgent reversal. Other complex interventions such as extracorporeal membrane oxygenation which require anticoagulation are also discussed. Lastly, those with uncommon high risk thrombophilias, especially those with antithrombin deficiency produce unique challenges when hospitalized.

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Another nail in the coffin of vena cava filters

Cited by 2 publications

References 14 publications

Standardization in surgery: friend or foe?

Standardization in surgery: friend or foe?

How I approach the prevention and treatment of thrombotic complications in hospitalized patients

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