Current practice patterns for venous thrombembolism (VTE) prophylaxis in autogenous breast reconstruction are unknown. A web-based survey on VTE prophylaxis was distributed to all American Society of Plastic Surgery members in the United States with a clinical interest in autogenous tissue breast reconstruction (N = 3584). A total of 606 completed surveys were returned for a response rate of 16.9%. Overall compliance with established guidelines was low (25%). High volume surgeons (43% vs. 22%) and surgeons in academic practice (42% vs. 22%) were significantly more likely to report prophylaxis regimens consistent with American College of Chest Physicians guidelines (ACCP) recommendations. Subgroup analysis of 72 surgeons who specifically report conformance to ACCP guidelines demonstrated only 38% actually provided prophylaxis consistent with ACCP recommendations. VTE is a potentially fatal complication of autogenous breast reconstruction. Further research is necessary to create VTE prophylaxis guidelines specific to patients undergoing these procedures. The need for surgeon education on appropriate prophylaxis cannot be overemphasized.

译文

目前在自体乳房重建中预防静脉血栓 (VTE) 的实践模式尚不清楚。一项基于网络的VTE预防调查已分发给美国所有对自体组织乳房重建有临床兴趣的美国整形外科协会成员 (N = 3584)。总共返回了606份完成的调查,答复率为16.9%。对既定指南的总体依从性较低 (25%)。高容量外科医生 (43% 对22%) 和学术实践中的外科医生 (42% 对22%) 更可能报告符合美国胸科医师学会指南 (ACCP) 建议的预防方案。对72名专门报告符合ACCP指南的外科医生进行的亚组分析表明,只有38% 名医生实际提供了与ACCP建议一致的预防措施。VTE是自体乳房重建的潜在致命并发症。需要进一步的研究来制定针对接受这些手术的患者的VTE预防指南。对外科医生进行适当预防教育的必要性怎么强调都不为过。

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