UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Systematic review of the venous thromboembolism risk assessment models used in aesthetic plastic surgery

White, Amelia J; Kanapathy, Muholan; Nikkhah, Dariush; Akhavani, Mo; (2021) Systematic review of the venous thromboembolism risk assessment models used in aesthetic plastic surgery. JPRAS Open , 30 pp. 116-127. 10.1016/j.jpra.2021.07.010. Green open access

[thumbnail of Systematic review of the venous thromboembolism risk assessment models used in aesthetic plastic surgery.pdf]
Preview
Text
Systematic review of the venous thromboembolism risk assessment models used in aesthetic plastic surgery.pdf - Other

Download (576kB) | Preview

Abstract

BACKGROUND: A reliable venous thromboembolism (VTE) risk assessment model (RAM) can assist surgeons in identifying patients who would benefit from VTE prophylaxis. This systematic review was aimed at summarising the current available evidence on VTE RAMs used in aesthetic plastic surgery. METHODS: A comprehensive search was performed in the PubMed, EMBASE and Cochrane databases to include primary studies describing VTE RAMs in aesthetic plastic surgery from 1946 to February 2019. The objective was to compare the different VTE RAMs described for aesthetic plastic surgery to recommend a reliable model to stratify patients. RESULTS: Of the 557 articles identified in the PubMed, EMBASE and Cochrane databases, six articles were included in the final review. Five different RAMs were used in the included studies: Caprini 2005 RAM, Caprini 2010 RAM, Davison-Caprini 2004 RAM, the American Society of Anaesthesiologist's (ASA) physical status grading system and a tool developed by Wes et al. The difference in risk weightage amongst the tools along with the VTE incidences for different categories was compared. The Caprini 2005 RAM was the most widely reported tool and validated in plastic surgery patients. CONCLUSION: Amongst the five different tools currently used, the Caprini 2005 RAM was the most widely reported. This tool was validated in plastic surgery patients and reported to be a sensitive and reliable tool for VTE risk stratification; therefore, current data support its use until further higher quality evidence becomes available. Because of the heterogeneity of the data and low quality of the current evidence, a definitive recommendation cannot be made on the best VTE RAM for patients undergoing aesthetic plastic surgery. This paper highlights the need for randomised controlled trials evaluating the various RAMs which are essential to support future recommendations and guidelines.

Type: Article
Title: Systematic review of the venous thromboembolism risk assessment models used in aesthetic plastic surgery
Location: Netherlands
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jpra.2021.07.010
Publisher version: https://doi.org/10.1016/j.jpra.2021.07.010
Language: English
Additional information: © 2021 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Keywords: Plastic surgery, aesthetic surgery, guidelines, prevention, risk assessment model, venous thromboembolism
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Surgical Biotechnology
URI: https://discovery.ucl.ac.uk/id/eprint/10157449
Downloads since deposit
25Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item