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Worldwide adherence to ACCP guidelines for thromboprophylaxis after major orthopedic surgery: A systematic review of the literature and meta-analysis

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dc.creatorFarfan, Miguelspa
dc.creatorBautista, Mariaspa
dc.creatorBonilla, Guillermospa
dc.creatorRojas, Jorgespa
dc.creatorLlinás, Adolfospa
dc.creatorNavas, Joséspa
dc.date.accessioned2020-05-26T00:01:34Z
dc.date.available2020-05-26T00:01:34Z
dc.date.created2016spa
dc.description.abstractIntroduction Increased risk of venous thromboembolism following major orthopedic surgery (MOS) is well described. The American Academy of Chest Physician (ACCP) has generated evidence-based recommendations for thromboprophylaxis; however, there is a gap between guidelines recommendations and clinical practice. The aim of this study is to compare worldwide adherence rates to the last 4 editions of ACCP guidelines for thromboprophylaxis after MOS. Materials and methods A systematic review of literature and meta-analysis was performed. Studies reporting adherence to ACCP guidelines between January 2004 and October 2014 were included. Adherence rates after MOS for in-hospital (IH), extended (EXT), and global thromboprophylaxis (in-hospital plus extended) were assessed. Results Of 3993 titles, 13 studies reporting data of 35,303 patients were selected. Studies assessing the 6th, 7th or 8th editions of ACCP guidelines were found. No studies evaluating the 9th edition were available. For MOS, global adherence rates for the 6th, 7th and 8th editions were 62% (95% CI: 61%-63%), 70% (95% CI: 69%-71%), and 42% (95% CI: 41%-43%), respectively. Likewise, in-hospital adherence was 52% (95% CI: 50%-54%), 51% (95% CI: 50%-52%) and 85% (95% CI: 84%-86%). For extended prophylaxis, adherence rates were reported only for the 8th edition (59%; 95% CI: 58%-60%). Conclusions Adherence to ACCP recommendations for thromboprophylaxis during hospitalization has increased over time. Nevertheless, adherence rates to global thromboprophylaxis decrease due to an insufficient implementation of recommendations after discharge. © 2016 Elsevier Ltd. All rights reserved.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.thromres.2016.03.029
dc.identifier.issn493848
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23383
dc.language.isoengspa
dc.publisherElsevier Ltdspa
dc.relation.citationEndPage170
dc.relation.citationStartPage163
dc.relation.citationTitleThrombosis Research
dc.relation.citationVolumeVol. 141
dc.relation.ispartofThrombosis Research, ISSN:493848, Vol.141,(2016); pp. 163-170spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84962853109&doi=10.1016%2fj.thromres.2016.03.029&partnerID=40&md5=87515de56ac765463cf0d22182e55969spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordArticlespa
dc.subject.keywordClinical practicespa
dc.subject.keywordHipeng
dc.subject.keywordHumanspa
dc.subject.keywordMeta analysisspa
dc.subject.keywordOrthopedic surgeryspa
dc.subject.keywordPatient compliancespa
dc.subject.keywordPractice guidelinespa
dc.subject.keywordPriority journalspa
dc.subject.keywordSystematic reviewspa
dc.subject.keywordThrombosis preventionspa
dc.subject.keywordAdverse effectsspa
dc.subject.keywordHip Fracturesspa
dc.subject.keywordHip replacementspa
dc.subject.keywordKnee replacementspa
dc.subject.keywordOrthopedic surgeryspa
dc.subject.keywordProtocol compliancespa
dc.subject.keywordVenous thromboembolismspa
dc.subject.keywordAnticoagulant agentspa
dc.subject.keywordAnticoagulantsspa
dc.subject.keywordArthroplastyeng
dc.subject.keywordArthroplastyeng
dc.subject.keywordGuideline Adherencespa
dc.subject.keywordHip Fracturesspa
dc.subject.keywordHumansspa
dc.subject.keywordOrthopedic Proceduresspa
dc.subject.keywordVenous Thromboembolismspa
dc.subject.keywordArthroplastyspa
dc.subject.keywordGuideline adherencespa
dc.subject.keywordHip fracturesspa
dc.subject.keywordPrevention and controlspa
dc.subject.keywordVenous thromboembolismspa
dc.titleWorldwide adherence to ACCP guidelines for thromboprophylaxis after major orthopedic surgery: A systematic review of the literature and meta-analysisspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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