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Venothromboembolism following shoulder arthroscopy: a systematic review

BACKGROUND: Venous thromboembolic events (VTEs) following orthopedic surgery may lead to serious morbidity and mortality. Fortunately, VTEs following upper extremity procedures are uncommon. However, the true incidence is likely underreported. The aim of this study is to provide a systematic review,...

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Autores principales: Triplet, Jacob J., Schuette, Hayden B., Cheema, Adnan N., Marigi, Erick M., Hassett, Leslie C., Barlow, Jonathan D., Camp, Christopher L., Morrey, Mark E., Sperling, John W., Sanchez-Sotelo, Joaquin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426627/
https://www.ncbi.nlm.nih.gov/pubmed/37588470
http://dx.doi.org/10.1016/j.xrrt.2022.05.003
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author Triplet, Jacob J.
Schuette, Hayden B.
Cheema, Adnan N.
Marigi, Erick M.
Hassett, Leslie C.
Barlow, Jonathan D.
Camp, Christopher L.
Morrey, Mark E.
Sperling, John W.
Sanchez-Sotelo, Joaquin
author_facet Triplet, Jacob J.
Schuette, Hayden B.
Cheema, Adnan N.
Marigi, Erick M.
Hassett, Leslie C.
Barlow, Jonathan D.
Camp, Christopher L.
Morrey, Mark E.
Sperling, John W.
Sanchez-Sotelo, Joaquin
author_sort Triplet, Jacob J.
collection PubMed
description BACKGROUND: Venous thromboembolic events (VTEs) following orthopedic surgery may lead to serious morbidity and mortality. Fortunately, VTEs following upper extremity procedures are uncommon. However, the true incidence is likely underreported. The aim of this study is to provide a systematic review, excluding large database studies, to report on the incidence of VTEs following shoulder arthroscopic procedures. METHODS: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, a systematic review of multiple databases was performed. A comprehensive search of several databases from inception to September 1, 2021, limited to English language and excluding animal studies, was designed and conducted. Studies were screened by 2 independent reviewers. A decision to exclude studies from large surgical or insurance claim databases was made to minimize the risk of including overlapping data points in this systematic review. RESULTS: Thirteen studies met inclusion and exclusion criteria and form part of this systematic review. A total of 32,407 patients were included in this study. Among these patients, the deep vein thrombosis, pulmonary embolism, and overall VTE rates were 0.15%, 0.08%, and 0.21%, respectively. Among the patients specified to have undergone arthroscopic rotator cuff repair, the rate of deep vein thrombosis, pulmonary embolism, and overall VTE was 0.71%, 0.37%, and 1.04%, respectively. CONCLUSION: While symptomatic VTEs are rare following shoulder arthroscopic procedures, surgeons must be aware that they still account for a certain number of postoperative complications. Factors such as operative time, open procedures, obesity, and altitude may increase the risk of postoperative VTE although conflicting data exist. Current literature supports the idea that chemical antithrombotic prophylaxis likely provides no significant advantage over early mobilization in reducing VTEs following shoulder arthroscopy in low-risk patients.
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spelling pubmed-104266272023-08-16 Venothromboembolism following shoulder arthroscopy: a systematic review Triplet, Jacob J. Schuette, Hayden B. Cheema, Adnan N. Marigi, Erick M. Hassett, Leslie C. Barlow, Jonathan D. Camp, Christopher L. Morrey, Mark E. Sperling, John W. Sanchez-Sotelo, Joaquin JSES Rev Rep Tech Review and Full-Length Article BACKGROUND: Venous thromboembolic events (VTEs) following orthopedic surgery may lead to serious morbidity and mortality. Fortunately, VTEs following upper extremity procedures are uncommon. However, the true incidence is likely underreported. The aim of this study is to provide a systematic review, excluding large database studies, to report on the incidence of VTEs following shoulder arthroscopic procedures. METHODS: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, a systematic review of multiple databases was performed. A comprehensive search of several databases from inception to September 1, 2021, limited to English language and excluding animal studies, was designed and conducted. Studies were screened by 2 independent reviewers. A decision to exclude studies from large surgical or insurance claim databases was made to minimize the risk of including overlapping data points in this systematic review. RESULTS: Thirteen studies met inclusion and exclusion criteria and form part of this systematic review. A total of 32,407 patients were included in this study. Among these patients, the deep vein thrombosis, pulmonary embolism, and overall VTE rates were 0.15%, 0.08%, and 0.21%, respectively. Among the patients specified to have undergone arthroscopic rotator cuff repair, the rate of deep vein thrombosis, pulmonary embolism, and overall VTE was 0.71%, 0.37%, and 1.04%, respectively. CONCLUSION: While symptomatic VTEs are rare following shoulder arthroscopic procedures, surgeons must be aware that they still account for a certain number of postoperative complications. Factors such as operative time, open procedures, obesity, and altitude may increase the risk of postoperative VTE although conflicting data exist. Current literature supports the idea that chemical antithrombotic prophylaxis likely provides no significant advantage over early mobilization in reducing VTEs following shoulder arthroscopy in low-risk patients. Elsevier 2022-06-09 /pmc/articles/PMC10426627/ /pubmed/37588470 http://dx.doi.org/10.1016/j.xrrt.2022.05.003 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Review and Full-Length Article
Triplet, Jacob J.
Schuette, Hayden B.
Cheema, Adnan N.
Marigi, Erick M.
Hassett, Leslie C.
Barlow, Jonathan D.
Camp, Christopher L.
Morrey, Mark E.
Sperling, John W.
Sanchez-Sotelo, Joaquin
Venothromboembolism following shoulder arthroscopy: a systematic review
title Venothromboembolism following shoulder arthroscopy: a systematic review
title_full Venothromboembolism following shoulder arthroscopy: a systematic review
title_fullStr Venothromboembolism following shoulder arthroscopy: a systematic review
title_full_unstemmed Venothromboembolism following shoulder arthroscopy: a systematic review
title_short Venothromboembolism following shoulder arthroscopy: a systematic review
title_sort venothromboembolism following shoulder arthroscopy: a systematic review
topic Review and Full-Length Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426627/
https://www.ncbi.nlm.nih.gov/pubmed/37588470
http://dx.doi.org/10.1016/j.xrrt.2022.05.003
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