In deze uitwerking zie je een CAT volledig uitgewerkt volgens de toets criteria. Het gaat over het gebruik van orale bloedverdunners en via injectie welke beter is na een operatie in het ziekenhuis.
(Revalidatie na totale knie-en heupprothese, 2019)
Naam student:
Studentnummer:
Titel CAT: Het effect van heparine na heup en knie operaties
Klas:
Beoordelend docent:
Datum beoordeling: 31-10-2022
Gelegenheid: 1
,1.PI(C)O vraag
Vraag: Wat is bij volwassenen na een knie/heup operaties met opname het effect van fraxiparine
(heparine) toedienen om trombose te voorkomen?
P
Volwassen die knie/heup operatie hebben gehad
I Fraxiparine toedienen na knie/heup operatie
C Orale bloedverdunners nemen na knie/heup operatie
O Trombose voorkomen
2.In- en exclusiecriteria
Inclusiecriteria Exclusiecriteria
Fraxiparine( Heparine) Study protocol
Orale bloedverdunner (anti-thrombotic) Clinical trail
Volwassenen (Adults) Andere doelgroepen m.b.t andere opnames
Preventie trombose (prevention of venous
thromboembolic)
Heup/Knie operatie (Hip or Knee) (surgery)
Systematic revieuw of RCT
Niet ouder dan 10 jaar
Nederlands en/of Engels
3. Zoekstrategie
3.1 Synoniemen, zoek- en Mesh termen
P I C O
Adults Heparine [MeSH Anti-thrombotic Prevention
Terms] events
Operation Administer Orale Thrombosis
bloedverdunner
Surgery [MeSH thrombosis Aspirine Prevent
Terms]
adolescent Nadroparine Acetylsalicylzuur Venous
thromboembolism
(VTE)
Heup(hip) Fraxiparine Prevent blood clot Deep vein thrombosis
(DVT)
Knie (Knee) LMWH Placebo
Volwassenen
Operatie
3
, 3.2 Zoekopdracht
Pubmed :
Search: (((((heparin) AND (surgery)) AND (prevention)) AND (adults) AND ((y_5[Filter]) AND
(randomizedcontrolledtrial[Filter] OR systematicreview[Filter]))) AND (placebo) AND ((y_5[Filter])
AND (randomizedcontrolledtrial[Filter] OR systematicreview[Filter]))) AND (hip) Filters:
Randomized Controlled Trial, Systematic Review, in the last 5 years
(("heparin"[MeSH Terms] OR "heparin"[All Fields]) AND ("surgery"[MeSH Subheading] OR
"surgery"[All Fields] OR "surgical procedures, operative"[MeSH Terms]) AND ("prevent"[All
Fields] OR "preventability"[All Fields] OR "prevention and control"[MeSH Subheading]) AND
("adult"[MeSH Terms] OR "adult"[All Fields]) AND ("randomized controlled trial"[Publication
Type] OR "systematic review"[Filter])) AND ("placeboes"[All Fields] OR "placebos"[MeSH Terms])
AND ("randomized controlled trial"[Publication Type] OR "systematic review"[Filter])) AND
("hip"[MeSH Terms] OR "hip"[All Fields])) AND ((y_5[Filter]) AND
(randomizedcontrolledtrial[Filter] OR systematicreview[Filter]))
Cochranelibarary=
Heparine AND Surgery AND Adults AND prevention AND trombosis in Title Abstract Keyword
4. Stroomdiagram
PubMed
Aantal gevonden artikelen 5
Exclusie op basis van de titel 2
Exclusie op basis van de abstract 1
Exclusie op basis van het fulltext artikel 1
Aantal geïncludeerd 1
Geïncludeerde artikelen
Lu, X., & Lin, J. (2018). Low molecular weight heparin versus other anti-thrombotic agents for
prevention of venous thromboembolic events after total hip or total knee replacement surgery: a
systematic review and meta-analysis. BMC musculoskeletal disorders, 19(1), 322.
https://doi.org/10.1186/s12891-018-2215-3
Cochranelibarary
Aantal gevonden artikelen 5
Exclusie op basis van de titel 4
Exclusie op basis van de abstract 1
Exclusie op basis van het fulltext artikel 0
Aantal geïncludeerd 0
Geïncludeerde artikelen
N.v.t
4
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