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Anvendelsen af tromboseprofylakse på kirurgiske afdelinger i Danmark. Resultatet af den femte enqueteundersögelse
Engelsk titel: The use of thromboprophylaxis in Danish surgical departments. The results of the fifth survey Läs online Författare: Schnack Rasmussen HM ; Chauhan PA ; Wille-Jörgensen PA Språk: Dan Antal referenser: 20 Dokumenttyp: Artikel UI-nummer: 05011833

Tidskrift

Ugeskrift for Laeger 2005;167(1)43-6 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Introduction: The aim of the study was to determine the level of prevention of postoperative venous thromboembolism in Danish surgical departments. Materials and methods: A postal survey questionnaire was sent to all Danish surgical departments in the year 2000. Results: Replies were received from 198 of 212 departments (95%). Among the departments performing major surgery, 96% used thromboprophylaxis (TP) routinely. Ninety-two percent of those used TP according to written instructions. All departments used low-molecular-weight heparin (LMWH) as TP. Extended prophylaxis has not gained impact in Denmark, as only 17% of the orthopaedic surgery departments continued TP after discharge. Only 43% of the departments use TP in emergency surgery. Discussion: The majority of Danish surgical departments administer postoperative thromboprophylaxis in accordance with international recommendations. However, in accordance with evidence-based medicine all departments performing orthopedic, general or gynaecologic surgery should use TP routinely, including in emergency surgery. Furthermore, extended TP should be used for major orthopaedic surgery.