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Venous Thromboembolism in Patients Undergoing Shoulder Arthroscopy: Findings From the RECOS Registry

By Davide Imberti, Francesco Dentali, Nicola Ivaldo, Luigi Murena, Paolo Paladini, Alessandro Castagna, Giovanni Barillari, Enrico Guerra, Chiara Tonello, Filippo Castoldi, Fabio Lazzaro, Raffaella Benedetti, Giuseppe Camporese and Giuseppe Porcellini


The incidence of venous thromboembolism (VTE) after hip and knee major surgery without prophylaxis ranges from 29% to 60% for deep vein thrombosis (DVT) and from 1% to 3% for fatal pulmonary embolism (PE)1-3; consequently, thromboprophylaxis in this clinical setting is strongly recom- mended by experts and international consensus guidelines.3 Conversely, limited information is available on the rate of VTE complications and thromboprophylaxis use in other orthopae- dic surgeries, such as shoulder arthroscopy.4 To the best of our knowledge, the incidence and risk factors for VTE in shoulder arthroscopy haven’t been investigated in prospective epide- miological studies. Some independent, retrospective, obser- vational studies and case series have reported a quite low VTE rate in shoulder arthroscopy5-12; moreover, a few infor- mation is available on the safety and efficacy of thrombopro- phylaxis in this setting. Thus, current guidelines on the prevention of VTE in patients undergoing orthopedic surgery do not have a specific recommendation for those undergoing shoulder arthroscopy.3Here, we report the results of the RECOS registry in the spe- cific group of patients undergoing shoulder arthroscopy

Topics: Adolescent, Adult, Aged, Aged, 80 and over, Arthroscopy, Female, Humans, Incidence, Male, Middle Aged, Registries, Shoulder, Venous Thromboembolism, Young Adult, Hematology, Medicine (all)
Year: 2015
DOI identifier: 10.1177/1076029614567311
OAI identifier: oai:arts.units.it:11368/2871765
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