IngentaConnect Hospital-acquired venous thromboembolism and prophylaxis in an in...

Abstract:

Summary Background:

Without prophylaxis, hospital-acquired deep vein thrombosis (DVT) is approximately 10-40% among medical or general surgical patients and thromboprophylaxis for high-risk patients is currently recommended. This study analyse the risk factors associated with patients who developed a hospital-acquired venous thromboembolism (VTE) and what prior prophylaxis, if any, were given to these patients. Methods:

We identified 1 year of secondary VTE from seven metropolitan hospitals. A random sample was selected and reviewed retrospectively. Data abstracted included age, gender, VTE risk factors, surgeries, VTE prophylaxis, and anticoagulant dosing. Data analysis consisted of descriptive statistics. Results:

A total of 118 patients with mean age 72·1 years (range 23-96) and 55·1% female. There were 60·2% DVT followed by 36·4% pulmonary embolism (PE); 7·6% had both DVT and PE diagnosed. About 73·7% of the study patients had two or more VTE risk factors. Five (4·2%) patients with hospital-acquired VTE had no risk factors. Overall, 88·5% of patients with risk factors received adequate VTE prophylaxis; 20·3% received heparin or enoxaparin, 56·6% received warfarin, and 11·5% received mechanical prophylaxis secondary to drug contraindications. Nine (8·0%) patients with risk factors and no contraindications, did not received any prophylaxis while four patients (3·5%) received inadequate prophylaxis. All-cause mortality was 13·6% (16/118). Conclusion:

Less than 5% of hospital-acquired VTE occurred in patients with no risk factors while 74% occurred in patients with two or more risk factors. In this seven-hospital study, 11·5% of hospital-acquired VTE with prior risk factors did not receive adequate prophylaxis. Educational in-services on the new CHEST guidelines should be provided within the hospitals to increase adherence to prophylaxis guidelines.

Keywords: deep venous thrombosis; hospital-acquired; prophylaxis; pulmonary embolism; venous thromboembolism

Document Type: Research article

DOI: 10.1111/j.1365-2710.2006.00764.x

Affiliations: 1: Resurrection Emergency Medicine Residency Program 2: Department of Pharmacy, Resurrection Medical Center, Chicago, IL, USA

The full text electronic article is available for purchase. You will be able to download the full text electronic article after payment.

$50.39 plus tax Refund Policy

Hospital-acquired venous thromboembolism and prophylaxis in an integrated hospital delivery system