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Moreover, despite the small incidence, the length of hospital stay of patients with suspected VTE was equally increased in both health systems, even with greater cost for the private sector.

The incidence of VTE during hospitalization was 2.

Open in a separate window. Conclusion Thromboembolism edicap in patients undergoing arthroplasty is most commonly used in the private health services than public organizations, despite its high costs in both services.

In three patients, enoxaparin was replaced by dabigatran and in one patient, by non-fractioned heparin, with no report as to the reason. In this way, the objective of this study was to describe the VTE prophylaxis patterns and cbhp costs during the hospital stay of patients submitted to TKA and THA, within the context of the Brazilian healthcare system. The incidence of peripheral venous thrombosis in patients submitted to arthroplasty of the hip and knee is similar, with a moderate increase in absence of prophylaxis at the public hospital.

There was a report of use of compressive stockings as an adjuvant prophylactic method in only one patient. Patients cbhpj to THA Ramacciotti et al. In this group, the scheme for administration of enoxaparin was similar to that of patients submitted to TKA and to THA, with a dosage of 40mg daily, initiating the medication, on average 29 hours after the surgical procedure and with a mean duration of 3 and 4 days during hospitalization, respectively.

Most prior studies that investigated the use of prophylaxis for VTE used populations different from those assessed in our study, and were generally formed by general surgical patients or those hospitalized due to some clinical condition, demonstrating various results. Therefore, the ediaco between the VTE prevention rates at hospitals and what is currently recommended creates concerns as to the understanding of the economic implications of VTE relative to healthcare costs, which have never been evaluated in Brazilian eficao.


A descriptive analysis was made of the sample characteristics, in which the quantitative variables were expressed as mean and standard deviation, with dispersion measurement, and the qualitative variables, by frequencies and percentages. Author information Copyright and License information Disclaimer.

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A greater frequency of bleeding as a complication was observed in THA Table 2 Patterns of prophylaxis, occurrence, and costs per segmentation in care of venous thromboembolism in the Unified Health System and Health Insurance System. Find articles by Renata Leborato Guerra. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Despite the findings demonstrated by this study corroborating those of the investigation by Ramacciotti et al. Abstract Objective To compare therapy for prophylaxis of venous thromboembolism and costs related to hospitalization of patients undergoing total knee and hip replacement within the context of the Brazilian health system.

Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals

A scheme of enoxaparin 60mg daily was given to two patients with a mean start of Two patients received a scheme of enoxaparin 20mg daily, on average 7.

National Center for Biotechnology InformationU. Patients in clinical and surgical wards Deheinzelin et al. According to Bastos et al. Trombose venosa profunda em artroplastia total de quadril.

Among the patients seen by the SUS and analyzed in this study, the occurrence of VTE was suspected during the period of hospital stay in 2. In the SS, dabigatran was prescribed for one 0.


Similar to our results, two studies demonstrated that edicaoo incidence of VTE observed in individuals submitted to TKA was greater than that seen for the individuals submitted to THA. Our study showed that, in the public service, most patients submitted to arthroplasty received thromboprophylaxis and benefited from it.

Journal List Einstein Sao Paulo v.

Total cost and mean cost per patient were estimated as per segmentation of care received by the patient surgical procedure and hospital follow-up — including the costs of prophylaxis for VTE during hospitalization. For most of the patients submitted to both TKA and THA, the dose of enoxaparin was 40mg daily and with a similar mean duration in hospitalization 4 daysalthough the mean time from the start of the medication after surgery was greater in the TKA group than in the THA group Find articles by Telma Gomes da Silva.

DVT and Xbhpm can postpone hospital discharge by approximately 5 and 7 days, respectively, and are the ddicao cause of hospital readmission after THA.

Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals

The duration of prophylaxis during hospital stay was similar about 4 daysinitiating medication after the surgical procedure in all cases, but earlier at the SS 20 hours for TKA and 16 hours for THA than at the SUS 29 hours for both surgeries.

The sample characteristics studied are described on table 1. All analyses were made using the statistical software Stata, version MP11, and the R Project, version 2. For the purpose of this study, confirmed VTE was defined as a report, in the medical chart, of the confirmation of a clinical suspicion of the event by the physician, besides the positive report of some diagnostic method Doppler ultrasonography of vessels, helical computed tomography and pulmonary arteriography.