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Attitudes of Surgical Specialists Toward Venous Thromboembolism Prophylaxis in Surgical Patients

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Venous thromboembolism (VTE) and pulmonary embolism are serious and potentially lifethreatening complications in surgical patients; however, the risk can effectively be lessened using appropriate pharmaceutical and mechanical prophylaxis. Due to the variability in opinions and indications for VTE prophylaxis, proposed guidelines for VTE prophylaxis stratified according to patient- and procedure-oriented risk factors were widely circulated. We investigated to what extent these guidelines were accepted by 147 university and community-based surgeons in mid- America and how the recommendations for prophylaxis compared with recent past surgical practice performed on 5285 patients in Kentucky in 2004. Attitudes varied widely with respect to practice sites, modes, and specialty. Actual practices used in the Surgical Care Improvement Project 2004 varied even more widely and were at substantial variance from recommendations and current Centers for Medicare and Medicaid Services quality measures.
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Document Type: Research Article

Affiliations: 1: From theDepartment of Surgery, University of Louisville School of Medicine, Louisville, Kentucky, University of Louisville Hospital, Louisville, Kentucky, Price Institute of Surgical Research, Louisville, Kentucky, Quality Surgical Solutions, P.L.L.C., Louisville, Kentucky; and 2: From theDepartment of Surgery, University of Louisville School of Medicine, Louisville, Kentucky, University of Louisville Hospital, Louisville, Kentucky, Quality Surgical Solutions, P.L.L.C., Louisville, Kentucky; and 3: From theDepartment of Surgery, University of Louisville School of Medicine, Louisville, Kentucky, Price Institute of Surgical Research, Louisville, Kentucky 4: HealthCare Excel of Kentucky, Louisville, Kentucky

Publication date: March 1, 2008

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  • The Southeastern Surgical Congress owns and publishes The American Surgeon monthly. It is the official journal of the Congress and the Southern California Chapter of the American College of Surgeons, which all members receive each month. The journal brings up to date clinical advances in surgical knowledge in a popular reference format. In addition to publishing papers presented at the annual meetings of the associated organizations, the journal publishes selected unsolicited manuscripts. If you have a manuscript you'd like to see published in The American Surgeon select "Information for Authors" from the Related Information options below. A Copyright Release Form must accompany all manuscripts submitted.
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