VENOUS THROMBOEMBOLISM IN SURGICAL AND TRAUMATOLOGICAL PRACTICE. LITERATURE REVIEW
Introduction: Venous thromboembolism is the third leading cause of death worldwide. Despite the wide attention to the problem, the insidiousness of pathology lies in the low diagnostic value of preliminary tests performed before the onset of any pathology (oncology, surgery, childbirth and others), low effect of non-specific measures, and a high percentage of mortality and complications in the coming and remote dates. In the absence of other leading causes long and massive surgical interventions and traumatological operations are one of the leading causes of venous thrombosis and mortality in young and middle-aged patients.
The aim: The main objective of the review is to search for modern sources of information on the mechanisms of development of venous thrombosis of their prevention and treatment during surgical and traumatological interventions.
Search strategy: We studied the results of original researches, clinical trials, including controlled and randomized, systematic reviews and meta-analyzes, are indexed in PubMed, Medline, Scopus, Trip Database and obtained as a result of response to the keywords: “venous thromboembolism”, “venous thromboembolism in surgeon”, “venous thromboembolism in traumatology”, “Prevention of venous thromboembolism”, “treatment of venous thromboembolism”, “outcomes of venous thromboembolism”. The search depth was 7 years. The inclusion criteria were articles covering the current diagnosis of thromboembolism in surgical practice. Excluded - illuminating thromboembolism with obstetric pathology, oncology and diseases of the cardiovascular system. Search by keywords and main inclusion and exclusion criteria yielded the results of 782 works. The final analysis included 59 of them.
Results: Modern guidelines for the prevention and treatment of venous thromboembolism, consider as a pre-test assessment mandatory scale assessment, which is carried out on various scales and use for identifying groups of patients with an increased risk of thrombosis. It is noted that the tests that were popular a decade ago have lost their relevance in the assessment of time and should not act as clear criteria for the beginning of an episode of thrombosis.
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Issakhanova S.A. Venous thromboembolism in surgical and traumatological practice. Literature review // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, (Vol.22) 3, pp. 55-66. doi:10.34689/SH.2020.22.3.008Related publications:
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