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ORIGINAL ARTICLE

Prevention of Venous Thromboembolism in Thoracic and Cardiovascular Surgery

Noriko Egawa, MD, Shinichi Hiromatsu, MD, Yusuke Shintani, MD, Kurando Kanaya, MD, Shuji Fukunaga, MD, Shigeaki Aoyagi, MD

Department of Surgery, Kurume University School of Medicine Kurume, Japan

Shinichi Hiromatsu, MD Tel: +81 942 35 8967 Fax: +81 942 35 8967 Email: kaeru{at}med.kurume-u.ac.jp, Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume-shi, Fukuoka-ken, 830-0011 Japan.

ABSTRACT

Venous thromboembolism is the most preventable illness among patients in hospital. We prepared guidelines for the prophylaxis of venous thromboembolism, based on previous experience of perioperative risk factors. The aim of this study was to evaluate the effectiveness of these guidelines. All 1,467 patients who underwent surgery for thoracic or cardiovascular disease between April 2002 and July 2004, before the prophylactic guidelines were implemented, were assigned to group A. Another 1,389 patients who had surgery between August 2004 and December 2006, after the guidelines had been implemented, formed group B. The incidences of venous thromboembolism perioperatively in the 2 groups were compared. Six (0.4%) patients in group A developed deep vein thrombosis or pulmonary embolism, whereas no patient in group B experienced thromboembolism. The difference between groups was significant, so we consider our guidelines for venous thromboembolism prevention in the perioperative period to be clinically useful.

Key Words: Intermittent Pneumatic Compression Devices • Pulmonary Embolism • Stockings • Compression • Venous Thromboembolism • Venous Thrombosis

Asian Cardiovasc Thorac Ann 2009; 17:505-509
© 2009 by SAGE Publications
DOI: 10.1177/0218492309348639




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