Incidence and risk factor of venous thromboembolism in neurosurgical operation after implementation screening and prophylactic protocol
- Conditions
- Venous thromboembolism (VTE) is a severe and common complication in neurosurgery patients. Preoperative screening in neurosurgical patients for VTE is controversial.venous thromboembolism, neurosurgery, risk factors, prevention, d-dimer screening
- Registration Number
- TCTR20230822005
- Lead Sponsor
- Ramathibodi hospital
- Brief Summary
From preoperative VTE screening, 7 (3.5%) of 200 patients were diagnosed with VTE. Of these patients, 6 of 7 cases were asymptomatic proximal DVT. According to risk assessment using the Caprini score, moderate to high-risk VTE was accounted for 92%. The rate of VTE prophylaxis using intermittent pneumatic compression was 89.6%. Five (2.6%) of 193 patients had postoperative VTE.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 200
We included 200 patients older than 18 and underwent neurosurgical intervention, including spine and cranial surgery, both elective and emergency surgery.
The patients whose data were lost were excluded from the study.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method venous thromboembolism 30 days postoperative Incidence of post operative venous thromboembolism,venous thromboembolism preoperative period Incidence of preoperative venous thromboembolism
- Secondary Outcome Measures
Name Time Method risk factors for preoperative VTE preoperative period Odd ratio,risk factors for postoperative VTE postoperative 30 days odd ratio