지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 214 - 221 (8page)
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초록· 키워드
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Background: Substantial variation exists in the reported rates of postoperative venous thromboembolism (VTE) following total knee arthroplasty (TKA) in the Asian population. This retrospective study aimed to compare the early postoperative VTE incidence between patients managed with epidural anesthesia and those managed by general anesthesia at the time of TKA. Methods: We reviewed 589 cases of unilateral primary TKA performed between January 2011 and June 2014. We selected epidural versus general anesthesia groups as the main anesthetic choices, with postoperative patient-controlled analgesia. All the patients underwent deep vein thrombosis (DVT) computed tomography angiography on postoperative day 7. The incidence of DVT and pulmonary thromboembolism (PTE) was evaluated and compared between epidural and general anesthesia. Results: The overall incidence of VTE was 8.0% in the two groups together. The incidence did not differ between the groups. The odds ratio in the generalized estimation equations analysis showed a higher incidence of DVT and PTE in the epidural group; however, this result was not statistically significant. Although, the odds ratio for age showed that the risk of developing DVT and PTE increased 1.12 times per year. Conclusions: Total VTE incidence was not significantly different between patients who underwent general anesthesia and those who underwent epidural anesthesia for TKA. A prospective multicenter study is required to evaluate the nature of the Korean VTE status in major orthopedic surgeries, and to prepare guidelines and protocols for medical prophylaxis for DVT and PTE in Korea.
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참고문헌 (30)
참고문헌 신청
김영진 / 2007 / 슬관절 전 치환술 후 심부 정맥 혈전증의 발생에 대해 D-dimer 검사의 유용성 / 대한정형외과학회지 42(4):523~529
Geerts WH / 2004 / Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy / Chest 126(3 Suppl):S338~S400
Kim YH / 1990 / The incidence of deep vein thrombosis after cementless and cemented knee replacement / J Bone Joint Surg Br 72:779~783
McKenna R / 1976 / Thromboembolic disease in patients undergoing total knee replacement / J Bone Joint Surg Am 58:928~932
Sung Su Byun / 2008 / Evaluation of Deep Vein Thrombosis with Multidetector Row CT after Orthopedic Arthroplasty: a Prospective Study for Comparison with Doppler Sonography / Korean Journal of Radiology 9(1):59~66
Geerts WH / 2004 / Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy / Chest 126(3 Suppl):S338~S400
Kim YH / 1990 / The incidence of deep vein thrombosis after cementless and cemented knee replacement / J Bone Joint Surg Br 72:779~783
McKenna R / 1976 / Thromboembolic disease in patients undergoing total knee replacement / J Bone Joint Surg Am 58:928~932
Sung Su Byun / 2008 / Evaluation of Deep Vein Thrombosis with Multidetector Row CT after Orthopedic Arthroplasty: a Prospective Study for Comparison with Doppler Sonography / Korean Journal of Radiology 9(1):59~66
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