alexa Thromboprophylaxis in Spinal Surgery - Current UK Practice | OMICS International
ISSN: 2165-7939

Journal of Spine
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Research Article

Thromboprophylaxis in Spinal Surgery - Current UK Practice

Francis Brooks*, Steven Lau, Ed Baddour, Prabhakar Rao, Shashav Bhagat and Sashin Ahuja
Welsh Spinal Unit, University Hospital of Wales, Cardiff, United Kingdom
Corresponding Author : Francis Brooks
Welsh Spinal Unit
University Hospital of Wales
Cardiff, United Kingdom
Tel: +4479675366
Fax: + 442920744206
E-mail: [email protected]
Received July 02, 2012; Accepted July 24, 2012; Published July 27, 2012
Citation: Brooks F, Lau S, Baddour E, Rao P, Bhagat S, et al. (2012) A Thromboprophylaxis in Spinal Surgery – Current UK Practice. J Spine 1:121. doi:10.4172/2165-7939.1000121
Copyright: © 2012 Brooks F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Abstract Purpose: Venous thrombotic events remain a common problem following both spinal cord injury and elective spinal surgery. Recent guidance has been issued by the National Institute of Clinical Excellence (NICE) on the use of prophylaxis for these patients. This study was designed to show how spinal units in the United Kingdom (UK) are managing this risk for their patients. Method: We conducted a telephonic survey of 30 spinal units which were identified from a NHS website. We asked about their current method of thromboprophylaxis in spinal patients and asked if they had changed their practice based on the recommendations by NICE Results: 13.3% of the centres had changed their practice based on these updated clinical guidelines. 93% centres used mechanoprophylaxis only in the elective setting and 10% of centres reported increased wound complications with their new practice. Conclusion: Our results show that the majority of spinal centres are compliant with the recommendations of NICE. However, there remains a lack of good quality clinical evidence for thromboprophylaxis and more research should be conducted in this area.

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