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Article: Perioperative deep vein thrombosis in Chinese patients undergoing craniotomy

TitlePerioperative deep vein thrombosis in Chinese patients undergoing craniotomy
Authors
KeywordsChinese
Craniotomy
Deep vein thrombosis
Perioperative
Issue Date2002
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/surneu
Citation
Surgical Neurology, 2002, v. 58 n. 3-4, p. 274-278 How to Cite?
AbstractBACKGROUND: We attempted to determine the incidence of perioperative deep vein thrombosis (DVT) in Chinese patients undergoing elective craniotomy for brain tumors and to assess the efficacy of clinical and serial calf circumference assessment in detecting DVT. METHODS: Between June 1999 and February 2001, 100 consecutive patients who underwent elective craniotomy for brain tumors at the Department of Neurosurgery, University of Hong Kong Medical Centre were examined for perioperative DVT. The demographic data, Glasgow coma score (GCS), mobility status, and the operative details were recorded. Graduated compression stockings and intermittent pneumatic compression were applied perioperatively as prophylaxis against DVT. Serial duplex scans were performed before and after operation. Clinical examination was also performed daily to look for signs of DVT. The calf circumference was measured at fixed levels for both limbs before each duplex scan surveillance. RESULTS: The study group consisted of 44 males and 56 females, with a mean age of 54 ± 15 years (range, 20-81 years). There was no preoperative DVT. Postoperative DVT was detected on duplex scan in four patients (4%), two of whom had bilateral involvement. The thrombosis was confined to the calf veins in two limbs. The demographic data, neurologic status and operative details of patients with and without DVT were similar. Patients with DVT had no clinically recognizable signs. The change in calf circumference measurement was also not predictive of DVT. CONCLUSIONS: The incidence of perioperative DVT in Chinese patients undergoing elective craniotomy for brain tumors appears to be low with the present mechanical prophylactic measures. Given the low incidence of proximal DVT as detected by duplex scan, the use of heparin prophylaxis may not be justified because of the increased risk of intracranial bleeding. Clinical assessment with calf circumference measurement is unreliable in the diagnosis of DVT. © 2002 by Elsevier Science Inc.
Persistent Identifierhttp://hdl.handle.net/10722/83389
ISSN
2011 Impact Factor: 1.669
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorTing, ACWen_HK
dc.contributor.authorCheng, SWKen_HK
dc.contributor.authorCheung, GCYen_HK
dc.contributor.authorWu, LLHen_HK
dc.contributor.authorHung, KNen_HK
dc.contributor.authorFan, YWen_HK
dc.date.accessioned2010-09-06T08:40:27Z-
dc.date.available2010-09-06T08:40:27Z-
dc.date.issued2002en_HK
dc.identifier.citationSurgical Neurology, 2002, v. 58 n. 3-4, p. 274-278en_HK
dc.identifier.issn0090-3019en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83389-
dc.description.abstractBACKGROUND: We attempted to determine the incidence of perioperative deep vein thrombosis (DVT) in Chinese patients undergoing elective craniotomy for brain tumors and to assess the efficacy of clinical and serial calf circumference assessment in detecting DVT. METHODS: Between June 1999 and February 2001, 100 consecutive patients who underwent elective craniotomy for brain tumors at the Department of Neurosurgery, University of Hong Kong Medical Centre were examined for perioperative DVT. The demographic data, Glasgow coma score (GCS), mobility status, and the operative details were recorded. Graduated compression stockings and intermittent pneumatic compression were applied perioperatively as prophylaxis against DVT. Serial duplex scans were performed before and after operation. Clinical examination was also performed daily to look for signs of DVT. The calf circumference was measured at fixed levels for both limbs before each duplex scan surveillance. RESULTS: The study group consisted of 44 males and 56 females, with a mean age of 54 ± 15 years (range, 20-81 years). There was no preoperative DVT. Postoperative DVT was detected on duplex scan in four patients (4%), two of whom had bilateral involvement. The thrombosis was confined to the calf veins in two limbs. The demographic data, neurologic status and operative details of patients with and without DVT were similar. Patients with DVT had no clinically recognizable signs. The change in calf circumference measurement was also not predictive of DVT. CONCLUSIONS: The incidence of perioperative DVT in Chinese patients undergoing elective craniotomy for brain tumors appears to be low with the present mechanical prophylactic measures. Given the low incidence of proximal DVT as detected by duplex scan, the use of heparin prophylaxis may not be justified because of the increased risk of intracranial bleeding. Clinical assessment with calf circumference measurement is unreliable in the diagnosis of DVT. © 2002 by Elsevier Science Inc.en_HK
dc.languageengen_HK
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/surneuen_HK
dc.relation.ispartofSurgical Neurologyen_HK
dc.rightsSurgical Neurology. Copyright © Elsevier Inc.en_HK
dc.subjectChineseen_HK
dc.subjectCraniotomyen_HK
dc.subjectDeep vein thrombosisen_HK
dc.subjectPerioperativeen_HK
dc.titlePerioperative deep vein thrombosis in Chinese patients undergoing craniotomyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0090-3019&volume=58&spage=274&epage=279&date=2002&atitle=Perioperative+deep+vein+thrombosis+in+Chinese+patients+undergoing+craniotomyen_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S0090-3019(02)00842-Xen_HK
dc.identifier.pmid12480241-
dc.identifier.scopuseid_2-s2.0-0036762959en_HK
dc.identifier.hkuros77046en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036762959&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume58en_HK
dc.identifier.issue3-4en_HK
dc.identifier.spage274en_HK
dc.identifier.epage278en_HK
dc.identifier.isiWOS:000179828700018-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridTing, ACW=7102858552en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.scopusauthoridCheung, GCY=15052803300en_HK
dc.identifier.scopusauthoridWu, LLH=36981756200en_HK
dc.identifier.scopusauthoridHung, KN=37077257300en_HK
dc.identifier.scopusauthoridFan, YW=7403492523en_HK

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