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Adherence to Prophylaxis Guidelines for Symptomatic Venous Thromboembolism at a Darwin Hospital

De Zylva, Joseph B., Naunton, Mark, Szabo, Ferenc and Dettwiller, Pascale Y. (2012). Adherence to Prophylaxis Guidelines for Symptomatic Venous Thromboembolism at a Darwin Hospital. Journal of Pharmacy Practice and Research,42(1):37-42.

Document type: Journal Article
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Title Adherence to Prophylaxis Guidelines for Symptomatic Venous Thromboembolism at a Darwin Hospital
Author De Zylva, Joseph B.
Naunton, Mark
Szabo, Ferenc
Dettwiller, Pascale Y.
Journal Name Journal of Pharmacy Practice and Research
Publication Date 2012
Volume Number 42
Issue Number 1
ISSN 1445-937X   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84859628389
Start Page 37
End Page 42
Total Pages 6
Place of Publication United States of America
Publisher Psychology Press
Field of Research 320000 Medical and Health Sciences
Abstract
Aim
To investigate adherence to venous thromboembolism (VTE) prophylaxis guidelines in patients who developed VTE within 90 days of hospital discharge.

Method
Inpatients diagnosed with VTE (January 2007 to December 2009) were identified retrospectively from the medical records coding department. Patients were ineligible if they were outpatients, admitted to another hospital in the 3 months prior to the diagnosis of VTE, or if the diagnosis was not confirmed via a Doppler ultrasound or computed tomography pulmonary angiogram scan. A single cycle audit measured adherence to the guidelines by comparing prophylaxis delivered to eligible patients prior to the diagnosis of VTE to the prophylaxis recommended by the hospital guidelines.

Results
59 medical and surgical patients were eligible (median age 62 years; interquartile range 23 to 84) and 59% (n = 35) were male. Adherence to VTE prophylaxis guidelines was investigated for 59 patients who developed VTE associated with their current indexed admission (n = 32) or within 90 days of discharge (n = 27). Adherence to VTE prophylaxis for high-risk patients who developed VTE was: 50% for pharmacological prophylaxis and 57% for mechanical prophylaxis in surgical patients, and 63% for pharmacological prophylaxis and 26% for mechanical prophylaxis in medical patients.

Conclusion
Nearly half of the patients had not received appropriate VTE prophylaxis prior to developing VTE.
DOI http://dx.doi.org/10.1002/j.2055-2335.2012.tb00129.x   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Fri, 29 Aug 2014, 16:58:47 CST by Anthony Hornby