PMID- 19859680
OWN - NLM
STAT- MEDLINE
DCOM- 20100430
LR  - 20211020
IS  - 1433-044X (Electronic)
IS  - 0177-5537 (Linking)
VI  - 112
IP  - 12
DP  - 2009 Dec
TI  - [Thrombosis prophylaxis in trauma surgery units in Germany: a survey].
PG  - 1029-33
LID - 10.1007/s00113-008-1557-y [doi]
AB  - BACKGROUND: A questionnaire study was conducted to ask trauma surgery centers 
      about thrombosis prophylaxis methods and strategies for the diagnosis and therapy 
      of heparin-induced thrombocytopenia (HIT). METHODS: Questionnaires were sent by 
      post to German hospitals with trauma surgery units inquiring about the use of 
      unfractionated heparin (UFH) and low-molecular-weight heparin (LMWH), the 
      duration of medication, and the HIT diagnosis. Questionnaires were evaluated 
      descriptively. RESULTS: 314 of 685 questionnaires sent out were evaluable (46%): 
      half were from general hospitals, 96 (31%) from specialized hospitals, and 53 
      (17%) from tertiary care hospitals (others: 8). In more than 90%, only LMWH was 
      used. The mean duration of pharmacological thrombosis prophylaxis was 16.6+/-10.4 
      days (inpatient/outpatient). Only 10% adhered to the recommended platelet count 
      controls every 2 days (days 5-14) for early detection of HIT. CONCLUSIONS: While 
      pharmacological thrombosis prophylaxis following trauma surgery seems to be 
      generally performed according to guidelines, diagnosis and treatment of HIT need 
      to be systematized.
FAU - Hinz, P
AU  - Hinz P
AD  - Unfall- und Wiederherstellungschirurgie, Klinikum der Ernst-Moritz-Arndt 
      Universitat, Greifswald, Deutschland. phinz@uni-greifswald.de
FAU - Lubenow, N
AU  - Lubenow N
FAU - Wessel, A
AU  - Wessel A
FAU - Greinacher, A
AU  - Greinacher A
FAU - Ekkernkamp, A
AU  - Ekkernkamp A
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Thromboseprophylaxe in unfallchirurgischen Abteilungen in Deutschland : Eine 
      Umfrage.
PL  - Germany
TA  - Unfallchirurg
JT  - Der Unfallchirurg
JID - 8502736
RN  - 0 (Heparin, Low-Molecular-Weight)
RN  - 9005-49-6 (Heparin)
SB  - IM
MH  - Germany
MH  - Health Surveys
MH  - Heparin/adverse effects/*therapeutic use
MH  - Heparin, Low-Molecular-Weight/adverse effects/*therapeutic use
MH  - Humans
MH  - Platelet Count
MH  - Pulmonary Embolism/blood/*prevention & control
MH  - Surveys and Questionnaires
MH  - Thrombocytopenia/chemically induced
MH  - Venous Thrombosis/blood/*prevention & control
MH  - Wounds and Injuries/blood/*surgery
EDAT- 2009/10/28 06:00
MHDA- 2010/05/01 06:00
CRDT- 2009/10/28 06:00
PHST- 2009/10/28 06:00 [entrez]
PHST- 2009/10/28 06:00 [pubmed]
PHST- 2010/05/01 06:00 [medline]
AID - 10.1007/s00113-008-1557-y [doi]
PST - ppublish
SO  - Unfallchirurg. 2009 Dec;112(12):1029-33. doi: 10.1007/s00113-008-1557-y.