Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice

Purpose: To survey Malaysian orthopaedic surgeons’ attitudes to and use of venous thromboembolic disease prophylaxis. Methods: A total of 144 orthopaedic surgeons from various governmental and private institutions responded to a questionnaire. Results: Only slightly more than half of these surgeons...

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Main Authors: Zainol Fithri, Zairul Nizam, Alif Gul, Yunus Gul
Format: Article
Language:English
Published: Asia Pacific Orthopaedic Association 2003
Online Access:http://psasir.upm.edu.my/id/eprint/42250/
http://psasir.upm.edu.my/id/eprint/42250/1/Malaysian%20orthopaedic%20surgeons%27%20approach%20to%20venous%20thromboembolic%20disease%20prophylaxis%20attitudes%20and%20practice.pdf
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author Zainol Fithri, Zairul Nizam
Alif Gul, Yunus Gul
author_facet Zainol Fithri, Zairul Nizam
Alif Gul, Yunus Gul
author_sort Zainol Fithri, Zairul Nizam
building UPM Institutional Repository
collection Online Access
description Purpose: To survey Malaysian orthopaedic surgeons’ attitudes to and use of venous thromboembolic disease prophylaxis. Methods: A total of 144 orthopaedic surgeons from various governmental and private institutions responded to a questionnaire. Results: Only slightly more than half of these surgeons considered venous thromboembolic disease as common a problem in Malaysia as in western countries. The majority of surgeons (91.0%) reported using prophylaxis selectively for patients based on various indicators such as risk grading of surgery, obesity, and malignancy etc. Bleeding tendencies were cited as the greatest fear against the use of pharmacological prophylaxis. Low-molecular-weight heparin appeared to be the most commonly used pharmacological prophylaxis, used either singly or in combination with other forms of prophylaxis. The majority of surgeons employed prophylaxis until their patients were mobile. Conclusion: There should be greater awareness among surgeons in Malaysia of the need for protection against venous thromboembolic disease. Current practice needs to be reviewed and further recommendations made for existing protocols.
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spelling upm-422502016-04-12T06:35:38Z http://psasir.upm.edu.my/id/eprint/42250/ Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice Zainol Fithri, Zairul Nizam Alif Gul, Yunus Gul Purpose: To survey Malaysian orthopaedic surgeons’ attitudes to and use of venous thromboembolic disease prophylaxis. Methods: A total of 144 orthopaedic surgeons from various governmental and private institutions responded to a questionnaire. Results: Only slightly more than half of these surgeons considered venous thromboembolic disease as common a problem in Malaysia as in western countries. The majority of surgeons (91.0%) reported using prophylaxis selectively for patients based on various indicators such as risk grading of surgery, obesity, and malignancy etc. Bleeding tendencies were cited as the greatest fear against the use of pharmacological prophylaxis. Low-molecular-weight heparin appeared to be the most commonly used pharmacological prophylaxis, used either singly or in combination with other forms of prophylaxis. The majority of surgeons employed prophylaxis until their patients were mobile. Conclusion: There should be greater awareness among surgeons in Malaysia of the need for protection against venous thromboembolic disease. Current practice needs to be reviewed and further recommendations made for existing protocols. Asia Pacific Orthopaedic Association 2003 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/42250/1/Malaysian%20orthopaedic%20surgeons%27%20approach%20to%20venous%20thromboembolic%20disease%20prophylaxis%20attitudes%20and%20practice.pdf Zainol Fithri, Zairul Nizam and Alif Gul, Yunus Gul (2003) Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice. Journal of Orthopaedic Surgery, 11 (2). pp. 178-183. ISSN 1022-5536 http://www.josonline.org/index.php/JOS/article/view/908
spellingShingle Zainol Fithri, Zairul Nizam
Alif Gul, Yunus Gul
Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice
title Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice
title_full Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice
title_fullStr Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice
title_full_unstemmed Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice
title_short Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice
title_sort malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice
url http://psasir.upm.edu.my/id/eprint/42250/
http://psasir.upm.edu.my/id/eprint/42250/
http://psasir.upm.edu.my/id/eprint/42250/1/Malaysian%20orthopaedic%20surgeons%27%20approach%20to%20venous%20thromboembolic%20disease%20prophylaxis%20attitudes%20and%20practice.pdf