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[Thrombosis prophylaxis in trauma surgery units in Germany: a survey].
Department of Transfusion Medicine, Greifswald University, Germany.
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2009 (German)In: Der Unfallchirurg, ISSN 1433-044X, Vol. 112, no 12, 1029-33 p.Article in journal (Refereed) Published
Abstract [de]

BACKGROUND: A questionnaire study was conducted to ask trauma surgery centers about thrombosis prophylaxis methods and strategies for the diagnosis and therapy of heparin-induced thrombocytopenia (HIT).

METHODS: Questionnaires were sent by post to German hospitals with trauma surgery units inquiring about the use of unfractionated heparin (UFH) and low-molecular-weight heparin (LMWH), the duration of medication, and the HIT diagnosis. Questionnaires were evaluated descriptively.

RESULTS: 314 of 685 questionnaires sent out were evaluable (46%): half were from general hospitals, 96 (31%) from specialized hospitals, and 53 (17%) from tertiary care hospitals (others: 8). In more than 90%, only LMWH was used. The mean duration of pharmacological thrombosis prophylaxis was 16.6+/-10.4 days (inpatient/outpatient). Only 10% adhered to the recommended platelet count controls every 2 days (days 5-14) for early detection of HIT.

CONCLUSIONS: While pharmacological thrombosis prophylaxis following trauma surgery seems to be generally performed according to guidelines, diagnosis and treatment of HIT need to be systematized.

Place, publisher, year, edition, pages
2009. Vol. 112, no 12, 1029-33 p.
National Category
Clinical Medicine
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URN: urn:nbn:se:uu:diva-161353DOI: 10.1007/s00113-008-1557-yPubMedID: 19859680OAI: oai:DiVA.org:uu-161353DiVA: diva2:456043
Available from: 2011-11-11 Created: 2011-11-11 Last updated: 2011-11-30

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Lubenow, Norbert

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