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>Revistas >Revista Médica del Instituto Mexicano del Seguro Social >Año 2011, No. 4


Martínez-Murillo C, Aguilar-Arteaga ML, Velasco-Ortega E, Alonso-González R, Castellanos-Sinco H, Romo-Jiménez A, Vargas-Ruiz A, Torres-Arreola L, Viniegra-Osorio A
Guía de práctica clínica. Diagnóstico y tratamiento de la enfermedad tromboembólica venosa
Rev Med Inst Mex Seguro Soc 2011; 49 (4)

Idioma: Español
Referencias bibliográficas: 44
Paginas: 437-449
Archivo PDF: 68.29 Kb.


Texto completo




RESUMEN

Objetivo: estandarizar los diferentes protocolos y estrategias de manejo asociadas con la trombosis venos profunda y el embolismo pulmonar y sus complicaciones.
Métodos: se formularon preguntas clínicas concretas y estructuradas sobre diagnóstico y tratamiento de la trombosis. Se estableció una secuencia estandarizada para la búsqueda de guías de práctica clínica. Se encontraron siete guías, de las cuales se tomó gran parte de las recomendaciones; la búsqueda de las recomendaciones no incluidas en las guías de referencia se llevó a cabo en PubMed y Cochrane Library Plus. Los resultados se expresaron en niveles de evidencia y grado de recomendación, de acuerdo con las características del diseño y el tipo de estudio.
Conclusiones: los criterios de riesgo y el diagnóstico correcto permiten establecer la tromboprofilaxis y la terapia específica para los eventos trombóticos. Esta guía se funda en una recopilación y análisis de las guías internacionales más importantes, así como de metaanálisis y artículos de revisión sobre trombosis venosa, y pone al alcance del personal médico las recomendaciones basadas en evidencias, con la finalidad de tomar decisiones estandarizadas de diagnóstico y tratamiento, para disminuir la morbilidad y mortalidad en los pacientes con trombosis venosa.


Palabras clave: trombosis de la vena, embolia pulmonar, anticoagulantes, guía de práctica clínica.


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>Revistas >Revista Médica del Instituto Mexicano del Seguro Social >Año2011, No. 4
 

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