Freqüência da profilaxia mecânica para trombose venosa profunda em pacientes internados em uma unidade de emergência de Maceió

Machado, Nathalia Leilane Berto; Leite, Ticiana Leal e; Pitta, Guilherme Benjamin Brandão

doi:10.1590/s1677-54492008000400008

Cited by 12 publications

(19 citation statements)

References 10 publications

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“…Meyer et al 14 states that a combination of ankle exercise and subtalar movements for 5 minutes increases blood flow by stimulating the calf muscle pump (CMP) in combination with a position in which the lower limbs are raised in order to take advantage of the effect of gravity, facilitating greater blood mobility. 1,6,15 Sochart and Hardinge 16 stress that a combination of vascular kinesiotherapy and a position in which the lower limbs are raised is capable of preventing onset of pain and of complications caused by CVD. Another benefit of active movement of these joints is an improvement in venous hemodynamics, which is maintained for up to 30 minutes after the end of exercise.…”

Section: Resultsmentioning

confidence: 99%

“…1 Despite the small number of studies investigating the effects of physiotherapy in this disease, those that have been published are illustrating its fundamental role in both prevention, thereby avoiding incapacity to perform simple tasks because of exacerbation of the pain involved, and in treatment to improve the quality of life (QoL) of the people affected. [2][3][4] Authors writing on the subject highlight certain physiotherapy resources that could be used for this type of treatment, including vascular kinesiotherapy (with stretching, metabolic, strength, aerobic and proprioceptive exercises), breathing exercises, manual lymph drainage (DLM), pressure therapy, positioning to improve vascular function, and vascular education.…”

Section: Introductionmentioning

confidence: 99%

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Tratamento fisioterapêutico vascular para a doença venosa crônica: artigo de revisão

et al. 2016

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Physiotherapy has an important role to play in prevention of and recovery from the damage cause by chronic venous disease (CVD), employing techniques that are adapted to and focused on clinical disease status, in which form it is known as vascular physiotherapy. Early initiation of treatment with vascular physiotherapy can relieve symptoms of the disease, reduce the risk of venous ulcers and improve the quality of life of CVD patients. The objective of this literature review was to develop a protocol for treatment with vascular physiotherapy, compiling evidence of the benefits of each vascular physiotherapy technique and suggesting how they can be used for treatment of CVD. This is a review of literature investigating the subject that is listed on the LILACS and SciELO bibliographic databases and was published from 1990 to 2014. The resulting protocol is a proposal for treatment oriented towards the requirements of people with CVD, with the objective of achieving better quality of life.Keywords: venous insufficiency; physiotherapy; exercise; therapy. ResumoA fisioterapia tem papel importante no processo de prevenção e recuperação de danos causados pela doença venosa crônica (DVC), com técnicas adequadas e focadas no quadro clínico da doença, sendo então denominada de fisioterapia vascular. O tratamento fisioterapêutico vascular precoce pode aliviar os sintomas da doença, reduzir o risco de úlceras venosas e melhorar a qualidade de vida do portador de DVC. O objetivo desta revisão de literatura foi elaborar um protocolo de tratamento fisioterapêutico vascular, mostrando evidências e benefícios das técnicas da fisioterapia vascular e sugerindo como podem ser utilizadas no tratamento da DVC. Trata-se de um estudo de revisão de literatura através de referências sobre o tema, considerando os materiais disponíveis nas bases de dados bibliográficos LILACS e SciELO, publicados no período de 1990 a 2014. Esse protocolo constitui uma proposta de tratamento direcionada às necessidades dos indivíduos com DVC, a fim de proporcionar uma melhor qualidade de vida.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tratamento fisioterapêutico vascular para a doença venosa crônica: artigo de revisão

et al. 2016

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“…Rocha et al, (11) realizaram um estudo que identificou a razão para tal aumento, que consiste na profilaxia não adequada, seja na implementação ou quando não é seguido as recomendações de consensos e diretrizes. Essa informação é corroborada por Pitta et al, (3) Penha et al, (2) Sena et al (5) e Machado et al (12) que constataram a falta de prescrição profilática, mecânica ou medicamentosa em pacientes de alto risco. Sena et al (5) monitoraram 113 pacientes de cirurgia ortopédica de grande porte, após alta hospitalar, e verificaram que 37(32,74%) apresentaram sintomas de TVP variando de 8 a 9 dias para o surgimento dos sintomas.…”

Section: Discussionunclassified

Evolução Temporal Da Trombose Venosa Profunda No Estado Da Bahia

Prado

Mendes²

2015

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“…[4][5][6][7][8][9] However, it has been observed that thromboprophylaxis prescription rates are low and, when thromboprophylaxis is administered, it tends to be incorrect, despite the fact that protocols are available to guide health professionals. 6,[10][11][12] This study was conducted to evaluate the VTE risk profiles of recently-admitted clinical and surgical patients and to assess the thromboprophylactic measures administered during the first 24 hours after admission.…”

Section: Introductionmentioning

confidence: 99%

Avaliação da profilaxia da trombose venosa profunda em um hospital geral

2018

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Background: Venous thromboembolism (VTE) is a cause for growing concern in hospitals, has great impact on morbidity and mortality in clinical and surgical patients, and is the leading cause of preventable hospital deaths. Although there are risk assessment models for hospital inpatients, prophylaxis is still underused or is administered incorrectly. Objectives: To assess the risk profile for VTE in recently hospitalized clinical and surgical patients and evaluate the thromboprophylactic measures implemented in the first 24 hours of hospitalization. Methods: Cross-sectional study conducted in a large general hospital in the state of São Paulo, Brazil, between March and July 2015. Padua and Caprini scores were used for risk stratification of clinical and surgical patients, respectively, while thromboprophylactic measures were analyzed for compliance with the recommendations contained in the 8th and 9th Consensus of the American College of Chest Physicians. Results: A total of 592 patients (62% clinical and 38% surgical) were assessed. Risk stratification revealed a need for chemoprophylaxis in 42% of clinical patients and 81% of surgical patients (51% high risk and 30% moderate risk). However, 54% of high-risk clinical patients, 85% of high-risk surgical patients, and 4% of moderate-risk surgical patients, who were free from contraindications, were actually given the correct prophylaxis in the first 24 hours of hospitalization. Conclusions: There is a need to improve patient safety in relation to VTE in the first hours of hospitalization, since there is underutilization of chemoprophylaxis, especially in high-risk clinical patients and moderate-risk surgical patients. ResumoContexto: O tromboembolismo venoso (TEV) representa uma preocupação crescente nas instituições hospitalares, tem grande impacto sobre a morbimortalidade em pacientes clínicos e cirúrgicos, e é a principal causa de morte evitável hospitalar. Embora existam modelos de avaliação de risco para pacientes hospitalizados, a profilaxia ainda é subutilizada ou é feita de forma incorreta. Objetivos: Avaliar o perfil de risco para TEV de pacientes clínicos e cirúrgicos recém-internados, bem como as medidas tromboprofiláticas aplicadas nas primeiras 24 horas de internação. Métodos: Este estudo transversal foi realizado em um hospital geral de grande porte do interior do estado de São Paulo entre março e julho de 2015. Os escores de Pádua e Caprini foram utilizados para estratificação de risco dos pacientes clínicos e cirúrgicos, respectivamente, enquanto a análise das medidas tromboprofiláticas baseou-se nas recomendações do 8º e 9º Consenso do American College of Chest Physicians. Resultados: Foram analisados 592 pacientes (62% clínicos e 38% cirúrgicos). A estratificação de risco revelou necessidade de quimioprofilaxia em 42% dos pacientes clínicos e 81% dos cirúrgicos (51% de alto risco e 30% de moderado risco). Por outro lado, receberam profilaxia adequada nas primeiras 24 horas de internação 54% dos pacientes clínicos de alto risco, 85% dos cirúrgicos ...

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Freqüência da profilaxia mecânica para trombose venosa profunda em pacientes internados em uma unidade de emergência de Maceió

Cited by 12 publications

References 10 publications

Tratamento fisioterapêutico vascular para a doença venosa crônica: artigo de revisão

Tratamento fisioterapêutico vascular para a doença venosa crônica: artigo de revisão

Evolução Temporal Da Trombose Venosa Profunda No Estado Da Bahia

Avaliação da profilaxia da trombose venosa profunda em um hospital geral

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