In your routine, do you use any kind of thromboprophylaxis for total knee replacement?
|
No |
3 (1.2%) |
Yes |
243 (98.8%) |
Which thromboprophylaxis type(s) do you use for total knee replacement?
|
Pharmacological alone |
57 (23.5%) |
Mechanical alone |
1 (0.4%) |
Pharmacological + mechanical |
185 (76.1%) |
When do you start the pharmacological thromboprophylaxis?
|
Before surgery |
15 (6.2%) |
After surgery |
227 (93.8%) |
Which drug do you use after surgery?
|
Aspirin |
5 (2.1%) |
Apixaban |
3 (1.2%) |
Dabigatran |
4 (1.7%) |
Enoxaparin |
211 (87.2%) |
Rivaroxaban |
18 (7.4%) |
Another drug |
1 (0.4%) |
How long after surgery is the first dose administered?
|
Up to 2 hours |
16 (6.6%) |
3 to 6 hours |
86 (35.5%) |
7 to 11 hours |
34 (14%) |
12 hours |
86 (35.5%) |
≥ 24 hours |
20 (8.3%) |
What is the frequency of administration of this drug during hospitalization?
|
Every 12 hours |
8 (3.3%) |
Once a day |
234 (96.7%) |
For how long the patient must take this drug during hospitalization?
|
1 day |
3 (1.2%) |
2 days |
29 (12%) |
3 days |
10 (4.1%) |
Only while the patient cannot walk. When walking is resumed, I terminate the drug |
2 (0.8%) |
During the whole hospitalization period |
198 (81.8%) |
The options you stated above indicate your current practice. Would you prefer another conduct if you could use other resources/drugs?
|
No, I am free to work as I prefer |
189 (78.1%) |
Yes, but they are not available at the hospital(s) I work |
27 (11.2%) |
Yes, but they are not financed by health insurance providers |
26 (10.7%) |
Do you prescribe pharmacological thromboprophylaxis after hospital discharge?
|
Yes |
242 (100%) |
Do you prescribe the same drug used during hospitalization for home treatment after discharge?
|
No |
153 (63.2%) |
Yes |
89 (36.8%) |
Which new drug do you prescribe for home use?
|
Acetylsalicylic acid |
18 (11.8%) |
Apixaban |
30 (19.6%) |
Dabigatran |
6 (3.9%) |
Rivaroxaban |
99 (64.7%) |
For how long the patient must use this drug at home?
|
1 week |
4 (1.7%) |
10 days |
68 (28.1%) |
2 weeks |
83 (34.3%) |
3 weeks |
40 (16.5%) |
4 weeks |
44 (18.2%) |
> 4 weeks |
3 (1.2%) |
The options you stated above indicate your current practice. Would you prefer another conduct if you could use other resources/drugs?
|
No, I am free to work as I prefer |
203 (83.9%) |
Yes, but the administration route prevents its home use |
10 (4.1%) |
Yes, but the cost would prevent its use by my patients |
29 (12%) |
Do you prescribe mechanical thromboprophylaxis after total knee replacement?
|
No |
72 (29.8%) |
Yes |
170 (70.2%) |
What type of mechanical prophylaxis do you use?*
|
Graduated compression stockings |
140 (81.9%) |
Continuous passive motion (CPM) device |
25 (14.6%) |
Fixed pneumatic compression device |
39 (22.8%) |
Portable pneumatic compression device |
8 (4.7%) |
How do you use the device?
|
On the operated lower extremity alone |
20 (11.7%) |
On both lower extremities |
151 (88.3%) |
When do you start the mechanical thromboprophylaxis?
|
Before surgery |
11 (6.4%) |
During surgery |
18 (10.5%) |
Immediately after the end of surgery |
105 (61.4%) |
A couple of hours after the end of surgery |
37 (21.6%) |
The options you stated above indicate your current practice. Would you prefer another conduct if you could use other resources/drugs?
|
No, I am free to work as I prefer |
121 (70.8%) |
Yes, but they are not available at the hospital(s) I work |
17 (9.9%) |
Yes, but they are not financed by health insurance providers |
13 (7.6%) |
Yes, but the device is not available where I work |
3 (1.8%) |
Yes, but the cost would prevent its use by my patients |
17 (9.9%) |
Do you stratify your thromboprophylaxis method for knee replacement or do you use the same routine regimen for all patients?
|
I stratify it |
82 (33.7%) |
I use the same method for all patients |
161 (66.3%) |
Do you follow any guideline regarding a thromboprophylaxis method?
|
No |
88 (36.2%) |
Yes, 2011 American Academy of Orthopaedic Surgeons (AAOS) |
38 (15.6%) |
Yes, 2012 American College of Chest Physicians (ACCP) |
10 (4.1%) |
Yes, the guidelines from the hospital I work |
102 (42%) |
Yes, 2019 National Institute for Health and Care Excellence (NICE) |
5 (2.1%) |