Evaluation of the use of venous thromboembolism prophylaxis in hospitalised medical patients

被引：6

作者：

Panju, M. ^{[1
]}

Raso, D. ^{[2
]}

Patel, A. ^{[1
]}

Panju, A. ^{[1
]}

Ginsberg, J. ^{[3
]}

机构：

[1] McMaster Univ, Med Ctr, Dept Med, Hamilton, ON, Canada

[2] McMaster Univ, Med Ctr, Dept Med, Crit Care, Hamilton, ON, Canada

[3] McMaster Univ, Med Ctr, Dept Med & Haematol & Thromboembolism, Hamilton, ON, Canada

来源：

JOURNAL OF THE ROYAL COLLEGE OF PHYSICIANS OF EDINBURGH | 2011年 / 41卷 / 04期

关键词：

Venous thromboembolism; prophylaxis; deep vein thrombosis;

D O I：

10.4997/JRCPE.2011.404

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Venous thromboembolism (VTE) prophylaxis is effective in the prevention of deep vein thrombosis (DVT) and pulmonary embolism (PE) in medical patients. Methods: A retrospective chart review was performed on medical inpatients at two academic hospitals in Hamilton, Ontario to investigate if patients received VTE prophylaxis as per current guidelines. Results: An analysis was performed on 762 patient charts and 170 met inclusion criteria for use of pharmacological VTE prophylaxis. Of these, 91 (54%) received pharmacological VTE prophylaxis. In 63 patients with a contraindication to pharmacological VTE prophylaxis, 16 (25%) received non-pharmacological VTE prophylaxis. Conclusion: The provision rate of pharmacological VTE prophylaxis in hospitalised medical patients who met pre-defined clinical criteria for prophylaxis was 54%. The rate of prophylaxis increased with additional VTE risk factors to a peak rate of 67%. There is room for the development of strategies to improve the use of VTE prophylaxis in hospitalised medical patients.

引用

页码：304 / 308

页数：5

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