Venous thromboembolic complications in stroke patients: prevention problems

Abstract

Objective: Clinical assessment of the efficacy and safety of the use of the Protocol for the prevention of Venous Thromboembolic Complications (VTEC), including the use of standard doses of anticoagulants and elastic compression of the lower extremities. Materials and methods: A prospective analysis of 86 cases of stroke was performed. Depending on the amount of preventive measures of VTEC, patients were divided into two groups.In the first group (n 42), non-drug methods were used: compression knitwear, patients turns in bed every 2 hours, passive gymnastics and massage of paralyzed limbs, in the second group (n 44), non-pharmacological prophylaxis was supplemented with nadroparin. Results: Patients with acute stroke are at high risk of VTEC, and in almost all cases deep vein thrombosis of the lower leg was not accompanied by clinical symptoms and was diagnosed only during the ultrasound examination.The protocol for the prevention of VTEC is effective and safe in patients with hemorrhagic and ischemic stroke. During prophylaxis by the Protocol the frequency of VTEC is reduced from 32 to 24, while the frequency of hemorrhagic complications doesnt increase. Conclusion: The results of the study confirm the high efficacy and safety of the Protocol of prevention VTEC in patients with stroke.