Profilaxia de Trombose Venosa Profunda em Doentes com Traumatismo Cranioencefálico

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSILVA, Vinicius Trindade Gomes da
dc.contributor.authorIGLESIO, Ricardo
dc.contributor.authorPAIVA, Wellingson Silva
dc.contributor.authorSIQUEIRA, Mario Gilberto
dc.contributor.authorTEIXEIRA, Manoel Jacobsen
dc.date.accessioned2015-10-26T16:28:31Z
dc.date.available2015-10-26T16:28:31Z
dc.date.issued2015
dc.description.abstractIntroduction: The risk of deep vein thrombosis is increased in patients with head trauma, but the prophylaxis against this event is confronted with the possible risk of worsening hemorrhagic injuries. In this article, we present an overview about deep vein thrombosis prophylaxis in patients with head trauma and we propose a practical protocol for clinical management of deep vein thrombosis prophylaxis. Material and Methods: We reviewed relevant papers cited in the Medline/PubMed, Cochrane, and Scielo databases from January 1998 to January 2014. Based on a search with the following search expression: ""deep venous thrombosis and prophylaxis and traumatic brain injury"", we found 44 eligible articles. Twenty-three papers were selected using criteria as published in English or Portuguese, patients in acute phase of moderate and severe traumatic brain injury and noninvasive mechanical prophylaxis or chemistry. Results: Head trauma alone is a risk factor for deep vein thrombosis. The chance of deep vein thrombosis is 2.59 times higher in patients with head trauma. The prevalence of deep vein thrombosis and pulmonary embolism in patients who have suffered head trauma is 20% in the literature, reaching 30% in some studies. Discussion and Conclusion: Head trauma alone is a risk factor for deep vein thrombosis and pulmonary thromboembolism and the risks inherent in this disease requires methods of prevention for these complications. Clinical trials are needed to establish the efficacy of prophylaxis and the best time to start medication for deep vein thrombosis in patients with traumatic brain injury.
dc.description.indexMEDLINE
dc.identifier.citationACTA MEDICA PORTUGUESA, v.28, n.2, p.250-255, 2015
dc.identifier.issn1646-0758
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/11696
dc.language.isopor
dc.publisherORDEM MEDICOS
dc.relation.ispartofActa Medica Portuguesa
dc.rightsopenAccess
dc.rights.holderCopyright ORDEM MEDICOS
dc.subjectBrain Injuries
dc.subjectPulmonary Embolism
dc.subjectVenous Thrombosis
dc.subject.othervenous thromboembolism prophylaxis
dc.subject.otherenoxaparin prophylaxis
dc.subject.othersafety
dc.subject.otherhead
dc.subject.otheranticoagulation
dc.subject.otherefficacy
dc.subject.otherheparin
dc.subject.otherthromboprophylaxis
dc.subject.otherhemorrhage
dc.subject.othercare
dc.subject.wosMedicine, General & Internal
dc.titleProfilaxia de Trombose Venosa Profunda em Doentes com Traumatismo Cranioencefálico
dc.title.alternativeDeep Vein Thrombosis Prophylaxis in Patients with Traumatic Brain Injury
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus2
hcfmusp.contributor.author-fmusphcVINICIUS TRINDADE GOMES DA SILVA
hcfmusp.contributor.author-fmusphcRICARDO FERRARETO IGLESIO
hcfmusp.contributor.author-fmusphcWELLINGSON SILVA PAIVA
hcfmusp.contributor.author-fmusphcMARIO GILBERTO SIQUEIRA
hcfmusp.contributor.author-fmusphcMANOEL JACOBSEN TEIXEIRA
hcfmusp.description.beginpage250
hcfmusp.description.endpage255
hcfmusp.description.issue2
hcfmusp.description.volume28
hcfmusp.origemWOS
hcfmusp.origem.scopus2-s2.0-84930452451
hcfmusp.origem.wosWOS:000357078000018
hcfmusp.publisher.cityLISBON
hcfmusp.publisher.countryPORTUGAL
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hcfmusp.scopus.lastupdate2024-05-10
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