Chinese Orthopedic Surgeons’ Practice Regarding Postoperative Thromboembolic Prophylaxis after Major Orthopedic Surgery

doi:10.1016/S1001-9294(14)60046-8

Abstract

To assess Chinese surgeon practice of thromboprophylaxis following major orthopedic surgery.
Methods A questionnaire survey was conducted amongst Chinese orthopedic surgeons.A total of 293 surgeons were surveyed concerning five key aspects of thromboembolic prophylaxis after major orthopedic surgery at the proseminar of Chinese guidelines for prevention of venous thromboembolism (VTE) after major orthopedic surgery in January of 2009.
Results Totally, 208 surgeons (71.0%) responded, successfully completing the questionnaire.Of them, 57.6% respondents selected combined basic, mechanical, and pharmacologic methods for thromboprophylaxis; 51.0% respondents prefer starting prophylaxis 12-24 hours after surgery; 60.3% surgeons would use chemoprophylaxis for 7-10 days; 47.6% respondents prefer VTE prevention based on patients’ special conditions and needs upon discharge.“Safety” was the most repeated and emphasized factor during VTE prophylaxis.
Conclusions Multimodal thromboprophylaxis is frequently used after major orthopedic surgery.Half surgeons prefer to start chemoprophylaxis 12-24 hours after surgery.Thromboprophylaxis regimen varies for discharged patients.

Key words: venous thromboembolism, major orthopedic surgery, survey, thromboprophylaxis

Zhi-jian Sun, Gui-xing Qiu, Xi-sheng Weng, Yu Zhao*, and Jin Jin. Chinese Orthopedic Surgeons’ Practice Regarding Postoperative Thromboembolic Prophylaxis after Major Orthopedic Surgery[J].Chinese Medical Sciences Journal, 2012, 27(3): 141-146.

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