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POSTDISCHARGE DATA: AFTER THR AND TKR

Symptomatic VTE Often Occurs Postdischarge.1,2

The risk of VTE is high after THR and TKR surgery and persists after hospital discharge.1,2

Therefore, current American College of Chest Physicians (ACCP) guidelines recommend thromboprophylaxis be extended beyond 10 days, and up to 35 days after surgery for patients undergoing THR surgery. These guidelines also recommend prophylaxis be administered for 10 days following TKR.1

Clinical studies of the progression of DVT following orthopedic surgery have shown that VTE causes no symptoms in many patients. However, during recovery time, venous stasis continues, potentially resulting in thrombi expanding and portions potentially breaking free. In such instances, a PE can occur, often after the patient has left the hospital.1

FACT:

The majority of VTE following THR and TKR occurs after hospital discharge.1

VTE for THR and TKR




























References:

  1. Geerts WH, Bergqvist D, Pineo GF, et al. Prevention of venous thromboembolism: American College of Chest Physicians evidence-based clinical practice guidelines (8th edition). Chest. 2008;133(suppl 6):381S-453S. doi:10.1378/chest.08-0656.
  2. Warwick D, Friedman RJ, Agnelli G, et al. Insufficient duration of venous thromboembolism prophylaxis after total hip or knee replacement when compared with the time course of thromboembolic events: findings from the Global Orthopaedic Registry. J Bone Joint Surg Br. 2007;89-B(6):799-807.