Inpatient thromboprophylaxis in trauma surgery. Relevance of postoperative mobility and preexistent risk

摘要

The presented thromboprophylactic concept includes weight bearing and ankle motion as well as breathing therapy and drug prophylaxis (antiphlogistics, analgesic drugs, heparin). Routinely performed ultrasound screening of the deep veins (legs and pelvis) before release showed a low DVT incidence of 2.5 in a prospective clinical observation of 841 inpatients. Obesity, venous insufficiency, and a history of previous thromboembolic events were associat- ed with a significantly increased risk of thrombosis (relative risk 4.1,4,9, and 5.8, respectively) The duration of immobilization also had a relevant influence indicating that early postoperative physiotherapy in traurnatology and orthopedic surgery has a widely underestimated thromboprophylactic effect.