Consenso de tromboprofilaxis en cirugía ginecológica.
Objective: To draw a synthesis of the available evidence regarding interventions for the prevention of venous thromboembolic events during the perioperative care of women with benign gynecological pathology, with the aim of reducing the associated morbidity and mortality. Materials and methods: The...
| Publicado en: | Revista Colombiana de Obstetricia y Ginecologia Vol. 72; no. 1; pp. 53 - 121 |
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| Formato: | Artículo |
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Federacion Colombiana de Asociaciones de Obstetricia y Ginecologia
Ene-Mar2021
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=150118711&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 150118711 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 00347434 78D6 jtl: Revista Colombiana de Obstetricia y Ginecologia issn: 00347434 maglogo: N pubinfo: dt: Ene-Mar2021 vid: 72 iid: 1 pid: 47612 pub: Federacion Colombiana de Asociaciones de Obstetricia y Ginecologia artinfo: ui: 150118711 10.18597/rcog.3666 ppf: 53 ppct: 68 formats: fmt: @attributes: type: P size: 5.1MB tig: atl: Consenso de tromboprofilaxis en cirugía ginecológica. aug: su: Medical personnel Perioperative care University of California, Los Angeles Grey literature Thromboembolism sug: subj: Medical personnel Perioperative care University of California, Los Angeles Grey literature Thromboembolism keyword: anticoagulants Consensus perioperative period pulmonary embolism venous thromboembolism anticoagulantes consenso embolia pulmonar periodo perioperatorio tromboembolia venosa ab: Objective: To draw a synthesis of the available evidence regarding interventions for the prevention of venous thromboembolic events during the perioperative care of women with benign gynecological pathology, with the aim of reducing the associated morbidity and mortality. Materials and methods: The development group included healthcare professionals, decision-makers and one patient representative. All the participants stated their disclosures. Answerable clinical questions were built and outcomes were graded. The search for information was conducted in Medline, Embase, Epistemonikos and LILACS, but it also included grey literature and was updated on September 22, 2020, with no date or language restrichttps tions. The GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach was used to determine the quality of the evidence and the strength of the recommendations. Formal consensus was developed in accordance with the RAND/UCLA methodology. The document was submitted to peer review before publication. Results: The abbreviated version of the "consensus on the prevention of venous thromboembolic events during the perioperative care of women with benign gynecological pathology" is presented together with the supporting evidence and respective recommendations. Conclusions: The key recommendations for implementation include the use of the Caprini scale and of interventions consistent with the individual perioperative risk level. Objetivo: sintetizar la evidencia disponible en torno a las intervenciones para la prevención de eventos tromboembólicos venosos durante el cuidado perioperatorio de las mujeres con patología ginecológica benigna, buscando reducir la morbimortalidad asociada a esta condición. Materiales y métodos: el grupo desarrollador estuvo integrado por profesionales de la salud, tomadores decisiones y un representante de las pacientes. Todos los participantes declararon sus conflictos de interés. Se construyeron preguntas clínicas contestables y se realizó la graduación de los desenlaces. Se elaboró la pesquisa de la información en Medline/PubMed, Embase, Epistemonikos y LILACS. La búsqueda también abarcó fuentes de literatura gris y se actualizó el 22 de septiembre de 2020 sin restricciones por fecha o idioma. Se implementó la aproximación GRADE (Grading of Recommendations Assessment, Development and Evaluation) para establecer la calidad de la evidencia y la fuerza de las recomendaciones, se realizó consenso formal acorde con la metodología RAND/UCLA. Previo a la publicación, el documento fue objeto de revisión por pares. Resultados: se presenta la versión corta del consenso "para la prevención de eventos tromboembólicos venosos durante el cuidado perioperatorio de las mujeres con patología ginecológica benigna", junto a su evidencia de soporte y respectivas recomendaciones. Conclusiones: como recomendaciones claves para la implementación, se proponen el uso de la escala de Caprini y el uso de intervenciones acorde con el nivel de riesgo perioperatorio de las pacientes. pubtype: Academic Journal doctype: Article src: R language: Spanish refInfo: copyright: @attributes: flag: Y custom: Copyright of Revista Colombiana de Obstetricia y Ginecologia is the property of Federacion Colombiana de Asociaciones de Obstetricia y Ginecologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Revista Colombiana de Obstetricia y Ginecologia holder: Federacion Colombiana de Asociaciones de Obstetricia y Ginecologia dt: @attributes: year: 2021 holdings: @attributes: islocal: N |
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