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Comparison of ACCP and AAOS guidelines for VTE prophylaxis after total hip and total knee arthroplasty.

Publication ,  Journal Article
Lachiewicz, PF
Published in: Orthopedics
December 2009

Orthopedists have expressed concerns regarding the utility for and applicability to their practices of guidelines from the American College of Chest Physicians (ACCP) for thromboprophylaxis in the settings of total hip and total knee arthroplasty (THA and TKA, respectively). These concerns include the acceptance by the ACCP of venographically assessed asymptomatic deep venous thrombosis as a meaningful clinical trial endpoint and a potential underestimation by the ACCP of the true risk of major bleeding and wound complication in unselected patient populations outside carefully controlled clinical trials. Because symptomatic pulmonary embolism is rare after THA and TKA, the American Academy of Orthopaedic Surgeons has developed a clinical practice guideline focused on preventing this complication while minimizing the risk of bleeding due to pharmacologic prophylaxis. These guidelines are reviewed here.

Duke Scholars

Published In

Orthopedics

DOI

EISSN

1938-2367

Publication Date

December 2009

Volume

32

Issue

12 Suppl

Start / End Page

74 / 78

Location

United States

Related Subject Headings

  • Venous Thrombosis
  • United States
  • Societies, Medical
  • Primary Prevention
  • Postoperative Complications
  • Orthopedics
  • Humans
  • Arthroplasty, Replacement, Knee
  • Arthroplasty, Replacement, Hip
  • Anticoagulants
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lachiewicz, P. F. (2009). Comparison of ACCP and AAOS guidelines for VTE prophylaxis after total hip and total knee arthroplasty. Orthopedics, 32(12 Suppl), 74–78. https://doi.org/10.3928/01477447-20091103-52
Lachiewicz, Paul F. “Comparison of ACCP and AAOS guidelines for VTE prophylaxis after total hip and total knee arthroplasty.Orthopedics 32, no. 12 Suppl (December 2009): 74–78. https://doi.org/10.3928/01477447-20091103-52.
Lachiewicz, Paul F. “Comparison of ACCP and AAOS guidelines for VTE prophylaxis after total hip and total knee arthroplasty.Orthopedics, vol. 32, no. 12 Suppl, Dec. 2009, pp. 74–78. Pubmed, doi:10.3928/01477447-20091103-52.

Published In

Orthopedics

DOI

EISSN

1938-2367

Publication Date

December 2009

Volume

32

Issue

12 Suppl

Start / End Page

74 / 78

Location

United States

Related Subject Headings

  • Venous Thrombosis
  • United States
  • Societies, Medical
  • Primary Prevention
  • Postoperative Complications
  • Orthopedics
  • Humans
  • Arthroplasty, Replacement, Knee
  • Arthroplasty, Replacement, Hip
  • Anticoagulants