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Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice


Citation

Zainol Fithri, Zairul Nizam and Alif Gul, Yunus Gul (2003) Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice. Journal of Orthopaedic Surgery, 11 (2). pp. 178-183. ISSN 1022-5536

Abstract

Purpose: To survey Malaysian orthopaedic surgeons’ attitudes to and use of venous thromboembolic disease prophylaxis. Methods: A total of 144 orthopaedic surgeons from various governmental and private institutions responded to a questionnaire. Results: Only slightly more than half of these surgeons considered venous thromboembolic disease as common a problem in Malaysia as in western countries. The majority of surgeons (91.0%) reported using prophylaxis selectively for patients based on various indicators such as risk grading of surgery, obesity, and malignancy etc. Bleeding tendencies were cited as the greatest fear against the use of pharmacological prophylaxis. Low-molecular-weight heparin appeared to be the most commonly used pharmacological prophylaxis, used either singly or in combination with other forms of prophylaxis. The majority of surgeons employed prophylaxis until their patients were mobile. Conclusion: There should be greater awareness among surgeons in Malaysia of the need for protection against venous thromboembolic disease. Current practice needs to be reviewed and further recommendations made for existing protocols.


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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Publisher: Asia Pacific Orthopaedic Association
Keywords: Low molecular weight heparin; Pulmonary embolism; Venous thrombosis
Depositing User: Nabilah Mustapa
Date Deposited: 12 Apr 2016 06:35
Last Modified: 12 Apr 2016 06:35
URI: http://psasir.upm.edu.my/id/eprint/42250
Statistic Details: View Download Statistic

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