Document Detail


Venous thromboembolism prophylaxis in a general hospital.
MedLine Citation:
PMID:  21537651     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the use of venous thromboembolism (VTE) prophylaxis in a general hospital.
METHODS: A cross-sectional cohort study at the Hospital Nossa Senhora da Conceição, located in the city of Porto Alegre, Brazil, involving a random sample of patients admitted between October of 2008 and February of 2009. We included patients over 18 years of age and hospitalized for more than 48 h. The exclusion criteria were anticoagulant use, pregnancy, puerperium, and a history of thromboembolic disease. The adequacy of prophylaxis was evaluated in accordance with a protocol created by the Hospital and principally based on the American College of Chest Physicians guidelines, eighth edition.
RESULTS: We included 262 patients. The mean age was 59.1 ± 16.6 years. The most common risk factors were immobilization (in 70.6%), infection (in 44.3%), cancer (in 27.5%), obesity (in 23.3%), and major surgery (in 14.1%). The risk of VTE was classified as high and moderate in 143 (54.6%) and 117 (44.7%) of the patients, respectively. Overall, 46.2% of the patients received adequate prophylaxis, 25% of those with > three risk factors for VTE and 18% of those with cancer, the differences between these last two groups and their counterparts (patients with < three risk factors and those without cancer) being statistically significant (p < 0.001 for both).
CONCLUSIONS: Our data reveal that nearly all patients at our hospital were at risk for VTE, and that less than half received adequate VTE prophylaxis, which is in agreement with the literature. It is surprising that inadequate prophylaxis is more common in high-risk patients.
Authors:
Fernanda Fuzinatto; André Wajner; Fernando Starosta de Waldemar; João Luiz de Souza Hopf; Juliana Ferro Schuh; Sergio Saldanha Menna Barreto
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia     Volume:  37     ISSN:  1806-3756     ISO Abbreviation:  J Bras Pneumol     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2011-05-03     Completed Date:  2011-12-29     Revised Date:  2013-09-26    
Medline Journal Info:
Nlm Unique ID:  101222274     Medline TA:  J Bras Pneumol     Country:  Brazil    
Other Details:
Languages:  eng; por     Pagination:  160-7     Citation Subset:  IM    
Affiliation:
Hospital Nossa Senhora da Conceição, Porto Alegre, Brazil. ferfuzi@hotmail.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cross-Sectional Studies
Female
Hospitals, General
Humans
Male
Middle Aged
Risk Assessment / classification
Risk Factors
Venous Thromboembolism / etiology,  prevention & control*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Implementation of community-acquired pneumonia guidelines at a public hospital in Brazil.
Next Document:  Evaluation of the use of transbronchial biopsy in patients with clinical suspicion of interstitial l...