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  1. Article: Prophylaxis of Venous Thromboembolism in Ankle and Foot Surgeries.

    Zambelli, Roberto / Bastos, Marcos de / Rezende, Suely Meireles

    Revista brasileira de ortopedia

    2020  Volume 56, Issue 6, Page(s) 697–704

    Abstract: Venous thromboembolism (VTE) is among the most feared complications by orthopedists both for due to its potentially lethal outcome and the uncertainties related to its prevention. Despite the vast literature on VTE prevention in major orthopedic ... ...

    Abstract Venous thromboembolism (VTE) is among the most feared complications by orthopedists both for due to its potentially lethal outcome and the uncertainties related to its prevention. Despite the vast literature on VTE prevention in major orthopedic surgeries, little is known about it in ankle and foot procedures. In orthopedics, adequate thromboprophylaxis requires a careful assessment of the thrombotic and hemorrhagic risks based on the procedure to be performed, as well as and knowledge on anticoagulant agents. The presentis review has the goal of assessing the risk of developingdiscusses VTE risk assessment, the modalities of thromboprophylaxis modalities, and the drugs used, with an emphasis on foot and ankle surgeries.
    Language English
    Publishing date 2020-09-25
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2411301-3
    ISSN 1982-4378 ; 0102-3616
    ISSN (online) 1982-4378
    ISSN 0102-3616
    DOI 10.1055/s-0040-1715512
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Profilaxia do tromboembolismo venoso nas cirurgias do tornozelo e do pé

    Zambelli, Roberto / Bastos, Marcos de / Rezende, Suely Meireles

    Revista Brasileira de Ortopedia

    2020  Volume 56, Issue 06, Page(s) 697–704

    Abstract: O tromboembolismo venoso (TEV) é uma das complicações mais temidas pelos ortopedistas, tanto pelo seu desfecho potencialmente letal quanto pelas incertezas relacionadas à sua prevenção. Apesar da vasta literatura existente sobre a prevenção de TEV nas ... ...

    Abstract O tromboembolismo venoso (TEV) é uma das complicações mais temidas pelos ortopedistas, tanto pelo seu desfecho potencialmente letal quanto pelas incertezas relacionadas à sua prevenção. Apesar da vasta literatura existente sobre a prevenção de TEV nas grandes cirurgias ortopédicas, pouco se sabe sobre sua prevenção nas cirurgias do tornozelo e do pé. Uma adequada prescrição da tromboprofilaxia em ortopedia exige criteriosa avaliação dos riscos trombóticos e hemorrágicos com base no tipo de cirurgia a ser realizada, além do conhecimento sobre os anticoagulantes. Esta revisão tem como objetivos abordar a avaliação do risco de desenvolver TEV, as modalidades de tromboprofilaxia, e os fármacos utilizados, tendo como ênfase as cirurgias do pé e do tornozelo.

    Venous thromboembolism (VTE) is among the most feared complications by orthopedists both for due to its potentially lethal outcome and the uncertainties related to its prevention. Despite the vast literature on VTE prevention in major orthopedic surgeries, little is known about it in ankle and foot procedures. In orthopedics, adequate thromboprophylaxis requires a careful assessment of the thrombotic and hemorrhagic risks based on the procedure to be performed, as well as and knowledge on anticoagulant agents. The presentis review has the goal of assessing the risk of developingdiscusses VTE risk assessment, the modalities of thromboprophylaxis modalities, and the drugs used, with an emphasis on foot and ankle surgeries.
    Keywords trombose ; ortopedia ; cirurgia ; pé ; tornozelo ; profilaxia pré-exposição ; thrombosis ; orthopedics ; surgery ; foot ; ankle ; pre-exposure prophylaxis
    Language Portuguese
    Publishing date 2020-09-25
    Publisher Thieme Revinter Publicações Ltda.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2411301-3
    ISSN 1982-4378 ; 0102-3616 ; 1982-4378
    ISSN (online) 1982-4378
    ISSN 0102-3616 ; 1982-4378
    DOI 10.1055/s-0040-1715512
    Database Thieme publisher's database

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  3. Article ; Online: Unexpected finding in computed tomographic pulmonary angiography.

    Soares, Thiago Horta / Bastos, Marcos de / Moreira, Wanderval / Rezende, Suely Meireles

    Revista da Associacao Medica Brasileira (1992)

    2012  Volume 58, Issue 5, Page(s) 516

    MeSH term(s) Aged ; Angiography ; Bone Cements/adverse effects ; Female ; Humans ; Incidental Findings ; Pulmonary Embolism/diagnostic imaging ; Pulmonary Embolism/etiology ; Tomography, X-Ray Computed ; Vertebroplasty/adverse effects
    Chemical Substances Bone Cements
    Language English
    Publishing date 2012-09
    Publishing country Brazil
    Document type Case Reports ; Journal Article
    ZDB-ID 2027973-5
    ISSN 1806-9282 ; 0104-4230
    ISSN (online) 1806-9282
    ISSN 0104-4230
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Tromboprofilaxia: recomendações médicas e programas hospitalares.

    Bastos, Marcos de / Barreto, Sandhi Maria / Caiafa, Jackson S / Rezende, Suely Meireles

    Revista da Associacao Medica Brasileira (1992)

    2011  Volume 57, Issue 1, Page(s) 88–99

    Abstract: Venous thromboembolism (VTE) is the most preventable cause of death in hospitalized patients. Hospital-related VTE is associated with more than half of the VTE burden in a community, either in-hospital or after discharge. Selective thromboprophylaxis is ... ...

    Title translation Thromboprophylaxis: medical recommendations and hospital programs.
    Abstract Venous thromboembolism (VTE) is the most preventable cause of death in hospitalized patients. Hospital-related VTE is associated with more than half of the VTE burden in a community, either in-hospital or after discharge. Selective thromboprophylaxis is recommended for patients at risk. Patient selection for thromboprophylaxis requires proper VTE risk stratification. VTE stratification may be achieved by either risk assessment models (RAM) or by models based on patient's illness and associated risk factors. Whatever the model, a thromboprophylatic recommendation should be formulated for each VTE risk category. VTE thromboprophylaxis may include general measures, mechanic compression procedures, pharmacological intervention or a combined approach. After many decades of consensus statements, a large proportion of at risk patients (20% to 75%) still does not receive proper thromboprophylaxis. This study aims to alert to the relevance of thromboprophylaxis and to suggest hospital thromboprophylatic strategies in a Brazilian setting.
    MeSH term(s) Hospitalization ; Humans ; Practice Guidelines as Topic ; Preventive Health Services/organization & administration ; Risk Factors ; Venous Thromboembolism/diagnosis ; Venous Thromboembolism/prevention & control
    Language Portuguese
    Publishing date 2011-03-04
    Publishing country Brazil
    Document type English Abstract ; Journal Article ; Review
    ZDB-ID 731969-1
    ISSN 0104-4230 ; 0004-5241 ; 0102-843X
    ISSN 0104-4230 ; 0004-5241 ; 0102-843X
    DOI 10.1590/s0104-42302011000100022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 654: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Incremental value of hormonal therapy for deep vein thrombosis prediction: an adjusted Wells score for women.

    Barros, Márcio Vinícius Lins de / Arancibia, Ana Elisa Loyola / Costa, Ana Paula / Bueno, Fernando Brito / Martins, Marcela Aparecida Corrêa / Magalhães, Maria Cláudia / Silva, José Luiz Padilha / Bastos, Marcos de

    Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis

    2016  Volume 27, Issue 3, Page(s) 328–333

    Abstract: Deep venous thrombosis (DVT) management includes prediction rule evaluation to define standard pretest DVT probabilities in symptomatic patients. The aim of this study was to evaluate the incremental usefulness of hormonal therapy to the Wells prediction ...

    Abstract Deep venous thrombosis (DVT) management includes prediction rule evaluation to define standard pretest DVT probabilities in symptomatic patients. The aim of this study was to evaluate the incremental usefulness of hormonal therapy to the Wells prediction rules for DVT in women. We studied women undertaking compressive ultrasound scanning for suspected DVT. We adjusted the Wells score for DVT, taking into account the β-coefficients of the logistic regression model. Data discrimination was evaluated by the receiver operating characteristic (ROC) curve. The adjusted score calibration was assessed graphically and by the Hosmer-Lemeshow test. Reclassification tables and the net reclassification index were used for the adjusted score comparison with the Wells score for DVT. We observed 461 women including 103 DVT events. The mean age was 56 years (±21 years). The adjusted logistic regression model included hormonal therapy and six Wells prediction rules for DVT. The adjusted score weights ranged from -4 to 4. Hosmer-Lemeshow test showed a nonsignificant P value (0.69) and the calibration graph showed no differences between the expected and the observed values. The area under the ROC curve was 0.92 [95% confidence interval (CI) 0.90-0.95] for the adjusted model and 0.87 (95% CI 0.84-0.91) for the Wells score for DVT (Delong test, P value < 0.01). Net reclassification index for the adjusted score was 0.22 (95% CI 0.11-0.33, P value < 0.01). Our results suggest an incremental usefulness of hormonal therapy as an independent DVT prediction rule in women compared with the Wells score for DVT. The adjusted score must be evaluated in different populations before clinical use.
    MeSH term(s) Adult ; Aged ; Female ; Fibrin Fibrinogen Degradation Products/analysis ; Hormones/adverse effects ; Hormones/therapeutic use ; Humans ; Logistic Models ; Middle Aged ; Prognosis ; ROC Curve ; Risk Factors ; Venous Thrombosis/chemically induced ; Venous Thrombosis/diagnosis ; Venous Thrombosis/epidemiology
    Chemical Substances Fibrin Fibrinogen Degradation Products ; Hormones ; fibrin fragment D
    Language English
    Publishing date 2016-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 1033551-1
    ISSN 1473-5733 ; 0957-5235
    ISSN (online) 1473-5733
    ISSN 0957-5235
    DOI 10.1097/MBC.0000000000000426
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2920: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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