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Predictive factors for effectiveness and safety of enoxaparin for total knee arthroplasty in aged Japanese patients: a retrospective review

BACKGROUND: The aims of this study were to investigate predictive factors involved in effectiveness and safety of enoxaparin for prevention of postoperative venous thromboembolism in aged Japanese total knee arthroplasty (TKA) patients. METHODS: Japanese patients over 65 years old who were administe...

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Autores principales: Sonoda, Akihiro, Kondo, Yuki, Tsuneyoshi, Yasuhiro, Iwashita, Yoshitaka, Nakao, Shoji, Ishida, Kazuhisa, Oniki, Kentaro, Saruwatari, Junji, Irie, Tetsumi, Ishitsuka, Yoichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241995/
https://www.ncbi.nlm.nih.gov/pubmed/28116117
http://dx.doi.org/10.1186/s40780-017-0075-x
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author Sonoda, Akihiro
Kondo, Yuki
Tsuneyoshi, Yasuhiro
Iwashita, Yoshitaka
Nakao, Shoji
Ishida, Kazuhisa
Oniki, Kentaro
Saruwatari, Junji
Irie, Tetsumi
Ishitsuka, Yoichi
author_facet Sonoda, Akihiro
Kondo, Yuki
Tsuneyoshi, Yasuhiro
Iwashita, Yoshitaka
Nakao, Shoji
Ishida, Kazuhisa
Oniki, Kentaro
Saruwatari, Junji
Irie, Tetsumi
Ishitsuka, Yoichi
author_sort Sonoda, Akihiro
collection PubMed
description BACKGROUND: The aims of this study were to investigate predictive factors involved in effectiveness and safety of enoxaparin for prevention of postoperative venous thromboembolism in aged Japanese total knee arthroplasty (TKA) patients. METHODS: Japanese patients over 65 years old who were administered enoxaparin for TKA were enrolled in this study. Their medical records were retrospectively reviewed. Data were corrected at the Izumi Regional Medical Center, from September 2009 to March 2014. Patients were stratified into groups according to whether enoxaparin was effective (no deep vein thrombosis event up to postoperative day 7) or not, and whether they had an adverse drug event (ADE) or not. RESULTS: A total of 128 patients were included in this study. One hundred five (82.0%) patients were in the effective group and 20 (15.6%) in the adverse drug event (ADE) group. Anemia (13 patients), abnormalities in liver function tests (4 patients), clinically relevant non-major bleeding (4 patients) and urticaria (1 patient) were observed as ADEs. Multivariate logistic regression analysis showed that the serum total protein level at postoperative day 1 (POD1, before enoxaparin administration), was associated with effectiveness of enoxaparin, while the serum total protein and hemoglobin level at POD1 were involved in ADE caused by enoxaparin. CONCLUSIONS: Although further large scale studies will be warranted, our results suggest that serum total protein level just before enoxaparin treatment for TKA relates to the effectiveness and safety of enoxaparin in a Japanese aged population. In addition, the results indicate that the development of anemia should be carefully monitored during enoxaparin treatment for TKA, particularly in patients with lower levels of serum hemoglobin before treatment. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40780-017-0075-x) contains supplementary material, which is available to authorized users.
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spelling pubmed-52419952017-01-23 Predictive factors for effectiveness and safety of enoxaparin for total knee arthroplasty in aged Japanese patients: a retrospective review Sonoda, Akihiro Kondo, Yuki Tsuneyoshi, Yasuhiro Iwashita, Yoshitaka Nakao, Shoji Ishida, Kazuhisa Oniki, Kentaro Saruwatari, Junji Irie, Tetsumi Ishitsuka, Yoichi J Pharm Health Care Sci Research Article BACKGROUND: The aims of this study were to investigate predictive factors involved in effectiveness and safety of enoxaparin for prevention of postoperative venous thromboembolism in aged Japanese total knee arthroplasty (TKA) patients. METHODS: Japanese patients over 65 years old who were administered enoxaparin for TKA were enrolled in this study. Their medical records were retrospectively reviewed. Data were corrected at the Izumi Regional Medical Center, from September 2009 to March 2014. Patients were stratified into groups according to whether enoxaparin was effective (no deep vein thrombosis event up to postoperative day 7) or not, and whether they had an adverse drug event (ADE) or not. RESULTS: A total of 128 patients were included in this study. One hundred five (82.0%) patients were in the effective group and 20 (15.6%) in the adverse drug event (ADE) group. Anemia (13 patients), abnormalities in liver function tests (4 patients), clinically relevant non-major bleeding (4 patients) and urticaria (1 patient) were observed as ADEs. Multivariate logistic regression analysis showed that the serum total protein level at postoperative day 1 (POD1, before enoxaparin administration), was associated with effectiveness of enoxaparin, while the serum total protein and hemoglobin level at POD1 were involved in ADE caused by enoxaparin. CONCLUSIONS: Although further large scale studies will be warranted, our results suggest that serum total protein level just before enoxaparin treatment for TKA relates to the effectiveness and safety of enoxaparin in a Japanese aged population. In addition, the results indicate that the development of anemia should be carefully monitored during enoxaparin treatment for TKA, particularly in patients with lower levels of serum hemoglobin before treatment. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40780-017-0075-x) contains supplementary material, which is available to authorized users. BioMed Central 2017-01-18 /pmc/articles/PMC5241995/ /pubmed/28116117 http://dx.doi.org/10.1186/s40780-017-0075-x Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Sonoda, Akihiro
Kondo, Yuki
Tsuneyoshi, Yasuhiro
Iwashita, Yoshitaka
Nakao, Shoji
Ishida, Kazuhisa
Oniki, Kentaro
Saruwatari, Junji
Irie, Tetsumi
Ishitsuka, Yoichi
Predictive factors for effectiveness and safety of enoxaparin for total knee arthroplasty in aged Japanese patients: a retrospective review
title Predictive factors for effectiveness and safety of enoxaparin for total knee arthroplasty in aged Japanese patients: a retrospective review
title_full Predictive factors for effectiveness and safety of enoxaparin for total knee arthroplasty in aged Japanese patients: a retrospective review
title_fullStr Predictive factors for effectiveness and safety of enoxaparin for total knee arthroplasty in aged Japanese patients: a retrospective review
title_full_unstemmed Predictive factors for effectiveness and safety of enoxaparin for total knee arthroplasty in aged Japanese patients: a retrospective review
title_short Predictive factors for effectiveness and safety of enoxaparin for total knee arthroplasty in aged Japanese patients: a retrospective review
title_sort predictive factors for effectiveness and safety of enoxaparin for total knee arthroplasty in aged japanese patients: a retrospective review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5241995/
https://www.ncbi.nlm.nih.gov/pubmed/28116117
http://dx.doi.org/10.1186/s40780-017-0075-x
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