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Review Article
Thromboembolic Prophylaxis in Neurosurgical Practice: A Review
Author(s): Jertske NM Lukassen, Justus L Groen, Wilco C Jacobs and Carmen LA Vleggeert-LankampJertske NM Lukassen, Justus L Groen, Wilco C Jacobs and Carmen LA Vleggeert-Lankamp
Purpose: Literature is ambiguous on the incidence of deep venous thrombosis and pulmonary embolism by neurosurgical patients. The objective of this systematic review is to assess the incidence of thromboembolic complications associated with neurosurgical interventions, evaluate current prophylaxis methods and propose a prophylaxis strategy.
Methods: PubMed, Embase and Cochrane Central were searched systematically and studies involving neurosurgical procedures describing postoperative complications DVT and PE. The risk of bias was assessed using (adjusted) Cowley criteria.
Results: Twenty studies (14 case series, 3 comparative studies, 3 RCT’s) were included, describing 8905 neurosurgical patients. Without prophylaxis the incidence of DVT was reported in 28% of neurosurgical cases (range 21-34%). Studies that .. Read More»
DOI:
10.4172/2165-7939.1000199
Journal of Spine received 2022 citations as per Google Scholar report