Durchführung der ambulanten Thromboseprophylaxe mit niedermolekularem Heparin bei Gipsimmobilisation der unteren Extremität |
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Authors: | Dr H -J Kock K P Schmit-Neuerburg J Hanke A Terwort G Rudofsky H Hirche |
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Institution: | 1. Abteilung für Unfallchirurgie des Universit?tsklinikums Essen, Hufelandstra?e 55, D-45122, Essen 2. Angiologische Klinik des Universit?tsklinikums Essen, Hufelandstra?e 55, D-45122, Essen 3. Institut für Medizinische Informatik und Biomathematik des Universit?tsklinikums Essen, Hufelandstra?e 55, D-45122, Essen
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Abstract: | Plaster cast immobilisation following trauma is a major risk factor for the development of deep vein thrombosis. In our controlled, randomized and prospective study in patients with minor injuries the incidence of deep vein thrombosis was 4.3% in conservatively treated outpatients with plaster cast immobilisation of the leg (n=163 control group without prophylaxis). By application of low molecular weight heparin once daily the number of deep vein thrombosis in the prophylaxis group (n=176) was reduced to 0% (p=0.006). No severe side effects of low molecular weight heparin were observed. Subcutaneous injections were self-applicated by 89% of males and 72% of females. We conclude that thromboprophylaxis with low molecular weight heparin once daily is effective to reduce the risk of deep vein thrombosis in outpatients with plaster cast immobilisation of the leg. |
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