Cross-sectional study of adherence to venous thromboembolism prophylaxis guidelines in hospitalized patients. The Trombo-Brit study

Thrombosis Journal

Original Clinical Investigation

Gastón Piñeiro¹  Nicholas Emery¹  María Eugenia Orrico¹  Julio Bruetman¹  John Emery¹  Débora Pellegrini¹  Laura Fox¹  Federico Jorge Bottaro¹  Victoria Pinoni¹  Eduardo Bullorsky²  José Manuel Ceresetto²  Sebastián Prieto²  Silvina Palmer² 

[1] Servicio de Clínica Médica, Hospital Británico, Perdriel 74, 1280, Buenos Aires, Argentina;Servicio de Hematología, Hospital Británico, Solís 2174, 1280, Buenos Aires, Argentina;

关键词: Deep Vein Thrombosis;    Medical Group;    Latin American Country;    Moderate Risk;    Mechanical Measure;   

DOI  :  10.1186/1477-9560-10-7

 received in 2011-12-02, accepted in 2012-03-31,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundDVT is the main cause of death in hospitalized patients and thromboprophylaxis is the only way to prevent these deaths. International recommendations suggested that active monitoring of DVT/PE prophylaxis can improve the efficacy in Hospitals.MethodsWe performed a cohort study in three consecutives periods to evaluate DVT prophylaxis in 388 adults hospitalized in a General Hospital.Results85% of the population had high risk factors for DVT. Thromboprophylaxis was in accordance with local and International guidelines (ACCP 2008) in 72.7% and 86% of the patients respectively. No significant difference could be founded between clinical and surgical patients. One every 10 patients received higher prophylaxis than suggested by guidelines and two out of ten received deficient or no prophylaxis. The worst 2 groups of patients were those with moderate/low risk of DVT and the group with a contraindication to pharmacologic prophylaxis. We observed a progressive improvement of the DVT prophylaxis in the 3 periods of evaluation.ConclusionsAlthough the rate of recommended thromboprophylaxis is higher than many other reports in the region we still have some areas where we need to improve. Regular audits like these are very helpful to find out what specific areas of the hospital needs some careful attention in order to have a better quality of assistance.

【 授权许可】

CC BY   
© Bottaro et al.; licensee BioMed Central Ltd. 2012