[Scottish Intercollegiate Guidelines Network]
Guideline 62 - Supporting Material
Prophylaxis of venous thromboembolism
Search narrative

Summary

Systematic reviews:

Year range: 1993-1998 Databases: Cochrane Library, Embase, Healthstar, Medline, Embase

Randomised controlled trials:

Year range: 1993-1998 Databases: Cochrane Library, Embase, Healthstar, Medline, Embase

Extra searches

Additional searches for RCTs on DVT for women during and following pregnancy, DVT in urology, Physical methods of DVT management, the use of aspirin in relation to DVT, risk of epidural haemotamo, and risks related to certain types of surgery. All searches covered the period 1993-1998 and the list of databases quoted above.

Internet

The following search engines were searched using the terms thrombophlebitis, venous thromboembolism, pulmonary embolism, deep vein thrombosis, dvt:
AltaVista
CPG Infobase
Medical World Search
OMNI
SearchUK
UK Health Centre
Yahoo

The following specific sites were also checked for relevant material:
AHCPR Centers for Disease Control & Prevention
New Zealand Guidelines Project  

Search strategies:

Searches were carried out using Ovid search software for all databases other than the Cochrane Library, and followed fundamentally the same structure. With the exception of the basic Embase strategy, the following examples list the Medline versions of the strategies used. Notes have been added at the end of strategies where other databases differed substantially.

1a. Basic search in Medline related databases:

01 Thrombophlebitis/ Identify material on DVT prophylaxis
02 Pulmonary embolism/  
03 Venous thromboembolism.tw.  
04 Pulmonary thromboembolism.tw.  
05 Deep vein thrombosis.tw.  
06 DVT.tw.  
07 Or/1-6  
08 Explode anticoagulants/tu  
09 Prophylaxis.tw.  
10 Prophylactic.tw.  
11 Or/8-10  
12 7 and 11  

Search filter to identify guidelines, meta analyses, and systematic reviews added at this point.

1b. Basic search in Embase:

01 Thrombophlebitis/ Identify material on DVT prophylaxis
02 Lung embolism/  
03 Deep vein thrombosis/  
04 (Pulmonary adj (embolism or thromboembolism).tw.  
05 Deep vein thrombosis.tw.  
06 DVT.tw.  
07 Venous thromboembolism.tw.  
08 Or/1-7  
09 Prophylaxis/  
10 Embolism prevention/  
11 Secondary prevention/  
12 Thrombosis prevention/  
13 Prophyla$.tw.  
14 Explode anticoagulant agent/  
15 Explode anticoagulant therapy/  
16 Or/9-15  
17 8 and 16  

Search filter to identify guidelines, meta analyses, and systematic reviews added at this point.

2. DVT for women during and after pregnancy

01 Thrombophlebitis/ Identify material on DVT
02 Pulmonary embolism/  
03 Venous thromboembolism.tw.  
04 Pulmonary thromboembolism.tw.  
05 Deep vein thrombosis.tw.  
06 DVT.tw.  
07 Or/1-6  
08 Explode pregnancy/ Identify material relating to pregnancy, contraceptive pills, or HRT
09 Explode pregnancy, complications/
10 Explode abortion/  
11 Explode cesarean section/  
12 Estrogen replacement therapy/  
13 Explode contraceptive agents, female/  
14 Explode bone diseases, metabolic/  
15 Embryopathy.tw.  
16 Miscarri$.tw.  
17 ((fetal or foetal) adj loss).tw.  
18 (loss adj2 (fetus or foetus)).tw.  
19 Pregnan$2.tw.  
20 Expectant mother$.tw.  
21 Oral contracept$.tw.  
22 Contraceptive pill.tw.  
23 HRT.tw.  
24 Hormone replacement therapy.tw.  
25 Or/8-24  
26 7 and 25  

Search filter to identify randomised controlled trials added at this point.

3. DVT following urological surgery

01 Thrombophlebitis/

Identify material on DVT

02 Pulmonary embolism/  
03 Venous thromboembolism.tw.  
04 Pulmonary thromboembolism.tw.  
05 Deep vein thrombosis.tw.  
06 DVT.tw.  
07 Or/1-6  
08 Urinary diversion/  
09 Prostatectomy/  
10 Explode urologic diseases/su  
11 Urology/  
12 Transurethral resection.tw.  
13 Or/8-12  
14 7 and 13  

Search filter to identify randomised controlled trials added at this point.

4. Physical v. drug based methods of controlling DVT

01 Thrombophlebitis/nu,pc,th  
02 Thrombophlebitis/dt  
03 1 not 2  
04 Pulmonary embolism/nu,pc,th  
05 Pulmonary embolism/dt  
06 4 not 5  
07 DVT.tw.  
08 Deep vein thrombosis.tw.  
09 ((venous or pulmonary) adj thromboembolism).tw.  
10 Or/7-9  
11 Explode anticoagulants/  
12 10 not 11  
13 3 or 6 or 12  
14 Bandages/  
15 Elastic stocking$.tw.  
16 Compression stocking$.tw.  
17 Or/14-16  
18 13 and 17  

5. DVT following surgery

01 Thrombophlebitis/ Identify material on DVT
02 Pulmonary embolism/  
03 Venous thromboembolism.tw.  
04 Pulmonary thromboembolism.tw.  
05 Deep vein thrombosis.tw.  
06 DVT.tw.  
07 Or/1-6  
08 Explode surgical procedures, laparoscopic Identify material on surgery and its follow-up
09 Laparoscopic surgery.tw.  
10 Explode surgical procedures, minimally invasive  
11 Minimum invasive surgery.tw.  
12 Minimally invasive surgery.tw.  
13 Minimum invasive procedure$.tw.  
14 Minimally invasive procedure$.tw.  
15 Keyhole surgery.tw.  
16 Keyhole procedure.tw.  
17 Pneumonia/  
18 Explode sepsis/  
19 Explode ventricular dysfunction/  
20 Explode heart failure, congestive/  
21 Polyradiculoneuritis/  
22 Guillain barre syndrome.tw.  
23 Explode arthritis, rheumatoid  
24 Explode critical care/  
25 Or/8-24  
26 7 and 25  

Search filter to identify randomised controlled trials added at this point.

6. Risk of epidural hematoma

01 Thrombophlebitis/ Identify material on DVT prophylaxis
02 Pulmonary embolism/  
03 Venous thromboembolism.tw.  
04 Pulmonary thromboembolism.tw.  
05 Deep vein thrombosis.tw.  
06 DVT.tw.  
07 Or/1-6  
08 Explode anticoagulants/tu  
09 Prophylaxis.tw.  
10 Prophylactic.tw.  
11 Or/8-10  
12 7 and 11  
13 Hematoma, epidural/  
14 Epidural hematoma.tw.  

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