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Incidence and risk factor of venous thromboembolism in neurosurgical operation after implementation screening and prophylactic protocol

Completed
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
Inclusion Criteria

We included 200 patients older than 18 and underwent neurosurgical intervention, including spine and cranial surgery, both elective and emergency surgery.

Exclusion Criteria

The patients whose data were lost were excluded from the study.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
venous thromboembolism 30 days postoperative Incidence of post operative venous thromboembolism,venous thromboembolism preoperative period Incidence of preoperative venous thromboembolism
Secondary Outcome Measures
NameTimeMethod
risk factors for preoperative VTE preoperative period Odd ratio,risk factors for postoperative VTE postoperative 30 days odd ratio
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