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KMID : 0191120160310081319
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Journal of Korean Medical Science
2016 Volume.31 No. 8 p.1319 ~ p.1323
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Preventing Venous Thromboembolism with Use of Intermittent Pneumatic Compression after Total Hip Arthroplasty in Korean Patients
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Jo Woo-Lam
Lee Young-Kyun
Ha Yong-Chan
Lee Kyung-Min
Kang Bun-Jung
Koo Kyung-Hoi
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Abstract
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Intermittent Pneumatic Compression (IPC) device has been used to prevent venous thromboembolism (VTE). This study investigated the effectiveness of IPC device. We evaluated incidences of deep vein thrombosis (DVT) and pulmonary embolism (PE) in total hip arthroplasty (THA) patients after use of IPC device, and compared with historical incidences from our institution. We applied IPC device in 741 patients who underwent 870 elective primary THAs from January 2010 to December 2013, DVT was detected in 3 patients (0.3%) by sonography, and one (0.1%) of them was symptomatic. Symptomatic PE occurred in 1 patient (0.1%) and there were no cases of fatal PE. The incidence of symptomatic DVT was significantly lower than the historical control (P = 0.042). The IPC is a safe and effective prophylaxis of VTE after primary THA in Korea.
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KEYWORD
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Intermittent Pneumatic Compression, Venous Thromboembolism, Deep Vein Thrombosis, Pulmonary Embolism, Total Hip Arthroplasty
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