Risk Factors Associated with Symptomatic Deep Vein Thrombosis Following Elective Spine Surgery: A Case–Control Study

Zervos, Thomas M; Bazydlo, Michael; Tundo, Kelly M; Macki, Mohamed; Rock, Jack

doi:10.1016/j.wneu.2020.08.182

Cited by 7 publications

(8 citation statements)

References 19 publications

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“…The risk of DVT is also increased in patients undergoing spinal surgery. Zervos, et al, reported that patients with a history of DVT who underwent elective spinal surgery have a higher risk of developing symptomatic DVT postoperatively 829 .…”

Section: -Should a Patient With Active Lower Extremity Dvt Undergo An...mentioning

confidence: 99%

Recommendations from the ICM-VTE: General

2022

Journal of Bone and Joint Surgery

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Section: -Should a Patient With Active Lower Extremity Dvt Undergo An...mentioning

confidence: 99%

Recommendations from the ICM-VTE: General

2022

Journal of Bone and Joint Surgery

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“…Aspirin+Fondaparinux 275 Aspirin: 325 mg; Fondaparinux: 2.5 mg POD 2 SCD Zervos et al. [40] CC 1. Heparin 165 5,000 U Postoperative - 2.…”

Section: Resultsmentioning

confidence: 99%

“…Aspirin 59.0±14.5 - 30.8±7.7 Thoracolumbar, lumbar, lumbosacral 2.Aspirin+Fondaparinux 61.7±13.0 - 31.3±6.7 Zervos et al. [40] 1. Heparin 61.1±12.3 - 30.7±5.7 Cervical (23), lumbar (42) 2.…”

Section: Resultsmentioning

confidence: 99%

“…The overall pooled incidence of VTE, regardless of whether prophylaxis was used, was 3.2%. We identified one outlier with a high overall incidence of 32.5%, and this study was removed from pooled incidence calculations [40] . The incidence of VTE among patients that received chemoprophylaxis (including all chemoprophylaxis types) was 2.9%, compared with 3.6% in patients that did not receive any chemoprophylaxis.…”

Section: Resultsmentioning

confidence: 99%

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Chemical prophylaxis and venous thromboembolism following elective spinal surgery: A systematic review and meta-analysis

Rahmani,

Eaddy,

Stegelmann

et al. 2024

North American Spine Society Journal (NASSJ)

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“…However, in clinical practice, nursing staff still lack understanding of the LEDVT risk factor identification, the timing ofLEDVT risk assessment, and the correct use of the LEDVT risk assessment scales [8]. Coupled with a lack of authoritative unified clinical guidelines, all of which leads to inaccurate identification and risk stratification of the LEDVT risk factors in general surgical patients, as well as the negative prevention or excessive prevention is common, greatly affecting the perioperative rehabilitation of patients and the identification of potential risk of the LEDVT [9].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Risk Factors for Postoperative Lower Extremity Deep Venous Thrombosis and its Treatment and Nursing

Liu

Peng

2022

Emergency Medicine International

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Objective. To explore the risk factors of lower extremity deep venous thrombosis (LEDVT) after surgery and discuss the treatment and nursing countermeasures. Methods. A retrospective analysis was conducted on 268 surgical patients admitted between July to December 2021. The factors associated with LEDVT were analyzed using the Logistic regression model. Further, LEDVT patients were assigned to a research group treated with targeted nursing to prevent LEDVT and a control group that used routine care. Coagulation function and inflammatory cytokines before and after nursing intervention were compared between groups. The assessment of patients’ mobility employed the lower limb motor function part of the Fugel–Meyer Assessment (FMA), Harris Hip Score (HHS), and Barthel index (BI), and their psychological status was evaluated using the Kolcaba’s General Comfort Questionnaire (GCQ) and Self-rating Anxiety/Depression Scale (SAS/SDS). Finally, patient satisfaction with the treatment service was investigated. Results. Logistic regression analysis showed that hypertension, limb paralysis, central venous catheterization of lower limbs, and bedridden time affect postoperative LEDVT in an independent way ( P < 0.05 ). After the intervention, the coagulation function and inflammatory reaction were improved in both groups, with more significant improvement in the research group ( P < 0.05 ). The research group also showed higher FMA, Harris, GCQ, and BI scores while lower SAS and SDS scores than the control group postnursing intervention ( P < 0.05 ). Finally, a higher satisfaction rate was identified in the research group as compared to the control group ( P < 0.05 ). Conclusion. Hypertension, limb paralysis, CVC of lower limbs, and bedridden time are all independent risk factors for LEDVT after surgery. The implementation of targeted nursing strategies for the above factors can effectively alleviate the hypercoagulable state of patients after operation, reduce inflammatory responses, and improve patient comfort, which is of great significance for preventing the occurrence of LEDVT.

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Risk Factors Associated with Symptomatic Deep Vein Thrombosis Following Elective Spine Surgery: A Case–Control Study

Cited by 7 publications

References 19 publications

Recommendations from the ICM-VTE: General

Recommendations from the ICM-VTE: General

Chemical prophylaxis and venous thromboembolism following elective spinal surgery: A systematic review and meta-analysis

Analysis of Risk Factors for Postoperative Lower Extremity Deep Venous Thrombosis and its Treatment and Nursing

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