Abstract
In a retrospective study we collected patient data relating to clinically detected postoperative thromboembolic complications before (n = 1710) and after (n = 2212) adopting a protocol for prophylaxis of deep vein thrombosis (DVT). A relatively low incidence of clinically diagnosed DVT, four per thousand, before systematic instructions for prophylaxis in 1981 could be explained by the frequent use of dextran as a volume expander in critically ill patients. However, following systematic prophylaxis the frequency of DVT decreased further (one per thousand).
MeSH terms
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Adolescent
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Adult
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Aged
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Anticoagulants / administration & dosage*
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Bandages
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Combined Modality Therapy
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Dextrans / administration & dosage
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Dihydroergotamine / administration & dosage
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Drug Combinations
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Early Ambulation
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Female
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Fractures, Bone / surgery*
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Heparin / administration & dosage
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Heparin, Low-Molecular-Weight*
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Humans
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Male
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Middle Aged
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Multiple Trauma / surgery*
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Postoperative Complications / prevention & control*
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Pulmonary Embolism / prevention & control*
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Risk Factors
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Thrombophlebitis / prevention & control*
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Warfarin / administration & dosage
Substances
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Anticoagulants
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Dextrans
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Drug Combinations
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Heparin, Low-Molecular-Weight
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heparin-dihydergot
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Dihydroergotamine
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Warfarin
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Heparin