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Venous Thromboembolism Prophylaxis in Plastic Surgery Patients Undergoing Facelift

BACKGROUND: In 2011, the American Society of Plastic Surgeons approved the Venous Thromboembolism (VTE) Task Force Report, which recommended the use of the Caprini scoring system, which has been adopted for VTE prophylaxis by most surgical societies in America. OBJECTIVES: The aim of this study is t...

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Autores principales: Gupta, Rohun, John, Jithin, Gupta, Monik, Shaheen, Kenneth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9119342/
https://www.ncbi.nlm.nih.gov/pubmed/35601235
http://dx.doi.org/10.1093/asjof/ojac024
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author Gupta, Rohun
John, Jithin
Gupta, Monik
Shaheen, Kenneth
author_facet Gupta, Rohun
John, Jithin
Gupta, Monik
Shaheen, Kenneth
author_sort Gupta, Rohun
collection PubMed
description BACKGROUND: In 2011, the American Society of Plastic Surgeons approved the Venous Thromboembolism (VTE) Task Force Report, which recommended the use of the Caprini scoring system, which has been adopted for VTE prophylaxis by most surgical societies in America. OBJECTIVES: The aim of this study is to investigate the incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE) in patients undergoing facelifts at a single institution who did not undergo VTE chemoprophylaxis based on the Caprini scoring system. METHODS: A retrospective chart review was conducted of patients who underwent facelift at a single institution. Patients were included if they were operated on between 2016 and 2021 by the lead surgeon and excluded if they received VTE prophylaxis. Descriptive statistics were conducted to analyze the collected data. RESULTS: In total, 136 patients were isolated after chart review, and no patients were found to have had DVT or VTE. The average Caprini score was 5.625 and ranged from 3 to 10. There were 3 patients with evidence of postoperative hematoma (Caprini score = 5, 5, 7). The overall hematoma percentage was 2.21%. CONCLUSIONS: Based on the average Caprini score for the patients, all patients should have received VTE chemoprophylaxis. The authors found no VTE-related events in the patients without chemoprophylaxis. This study suggests that while the Caprini scoring system is a critical diagnostic tool for certain surgical procedures, it might not be optimal in predicting VTE in aesthetic patients undergoing surgical procedures. LEVEL OF EVIDENCE: 4: [Image: see text]
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spelling pubmed-91193422022-05-20 Venous Thromboembolism Prophylaxis in Plastic Surgery Patients Undergoing Facelift Gupta, Rohun John, Jithin Gupta, Monik Shaheen, Kenneth Aesthet Surg J Open Forum Facial Surgery BACKGROUND: In 2011, the American Society of Plastic Surgeons approved the Venous Thromboembolism (VTE) Task Force Report, which recommended the use of the Caprini scoring system, which has been adopted for VTE prophylaxis by most surgical societies in America. OBJECTIVES: The aim of this study is to investigate the incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE) in patients undergoing facelifts at a single institution who did not undergo VTE chemoprophylaxis based on the Caprini scoring system. METHODS: A retrospective chart review was conducted of patients who underwent facelift at a single institution. Patients were included if they were operated on between 2016 and 2021 by the lead surgeon and excluded if they received VTE prophylaxis. Descriptive statistics were conducted to analyze the collected data. RESULTS: In total, 136 patients were isolated after chart review, and no patients were found to have had DVT or VTE. The average Caprini score was 5.625 and ranged from 3 to 10. There were 3 patients with evidence of postoperative hematoma (Caprini score = 5, 5, 7). The overall hematoma percentage was 2.21%. CONCLUSIONS: Based on the average Caprini score for the patients, all patients should have received VTE chemoprophylaxis. The authors found no VTE-related events in the patients without chemoprophylaxis. This study suggests that while the Caprini scoring system is a critical diagnostic tool for certain surgical procedures, it might not be optimal in predicting VTE in aesthetic patients undergoing surgical procedures. LEVEL OF EVIDENCE: 4: [Image: see text] Oxford University Press 2022-04-12 /pmc/articles/PMC9119342/ /pubmed/35601235 http://dx.doi.org/10.1093/asjof/ojac024 Text en © 2022 The Aesthetic Society. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Facial Surgery
Gupta, Rohun
John, Jithin
Gupta, Monik
Shaheen, Kenneth
Venous Thromboembolism Prophylaxis in Plastic Surgery Patients Undergoing Facelift
title Venous Thromboembolism Prophylaxis in Plastic Surgery Patients Undergoing Facelift
title_full Venous Thromboembolism Prophylaxis in Plastic Surgery Patients Undergoing Facelift
title_fullStr Venous Thromboembolism Prophylaxis in Plastic Surgery Patients Undergoing Facelift
title_full_unstemmed Venous Thromboembolism Prophylaxis in Plastic Surgery Patients Undergoing Facelift
title_short Venous Thromboembolism Prophylaxis in Plastic Surgery Patients Undergoing Facelift
title_sort venous thromboembolism prophylaxis in plastic surgery patients undergoing facelift
topic Facial Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9119342/
https://www.ncbi.nlm.nih.gov/pubmed/35601235
http://dx.doi.org/10.1093/asjof/ojac024
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