Impact of a program for venous thromboembolism prophylaxis in hospitalized patients in four hospitals in Salvador
UNLABELLED: There is a discrepancy between guideline recommendations and practice of venous thromboembolism (VTE) prophylaxis in hospitals worldwide.
OBJECTIVE: To implement a program using a risk-assessment tool (RAT) for VTE and educational lectures based on the Brazilian Guidelines for VTE Prophylaxis for Medical Patients and to evaluate the impact of these tools on adequacy of VTE prophylaxis in 4 hospitals in Salvador, Bahia.
METHODS: We performed two cross-sectional surveys before and after the implementation of the program to compare the proportion of patients at-risk of VTE and the changes in the adequacy of VTE prophylaxis.
RESULTS: We compared the data of 219 medical patients before with 292 patients after the program. The rates of patients with at least one risk factor for VTE and with contraindications (CI) for heparins were similar: 95% vs. 98% (p=0.13), and 42% vs. 34% (p=0.08), respectively. In both studies, 75% vs. 82% (p=0.06) were candidates for prophylaxis, and 44% vs. 55% (p =0.02) were candidates for prophylaxis and had no CI for heparin. After the program there was an increase in the use of mechanical prophylaxis 0.9% vs. 4.5% (p=0.03) and a decrease in pharmacological prophylaxis, 55.3% vs. 47.9% (p=0.04). However, there was a significant increase of use of the recommended doses of heparins, 53% vs. 75 (p<0.001).
CONCLUSION: There is underutilization of VTE prophylaxis in Brazilian hospitals. Strategies based on passive distribution of RAT and educational lectures were not sufficient to improve the practice of prophylaxis, but improved the adequacy of VTE prophylaxis in hospitalized patients.
Medienart: |
Artikel |
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Erscheinungsjahr: |
2010 |
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Erschienen: |
2010 |
Enthalten in: |
Zur Gesamtaufnahme - volume:56 |
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Enthalten in: |
Revista da Associacao Medica Brasileira (1992) - 56(2010), 2 vom: 07. März, Seite 197-203 |
Sprache: |
Portugiesisch |
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Weiterer Titel: |
Impacto de um programa para profilaxia de tromboembolismo venoso em pacientes clínicos em quatro hospitais de Salvador |
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Beteiligte Personen: |
Rocha, Ana Thereza C [VerfasserIn] |
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Themen: |
Anticoagulants |
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Anmerkungen: |
Date Completed 21.04.2011 Date Revised 08.04.2022 published: Print Citation Status MEDLINE |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM198361289 |
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100 | 1 | |a Rocha, Ana Thereza C |e verfasserin |4 aut | |
245 | 1 | 0 | |a Impact of a program for venous thromboembolism prophylaxis in hospitalized patients in four hospitals in Salvador |
246 | 3 | 3 | |a Impacto de um programa para profilaxia de tromboembolismo venoso em pacientes clínicos em quatro hospitais de Salvador |
264 | 1 | |c 2010 | |
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500 | |a Date Completed 21.04.2011 | ||
500 | |a Date Revised 08.04.2022 | ||
500 | |a published: Print | ||
500 | |a Citation Status MEDLINE | ||
520 | |a UNLABELLED: There is a discrepancy between guideline recommendations and practice of venous thromboembolism (VTE) prophylaxis in hospitals worldwide | ||
520 | |a OBJECTIVE: To implement a program using a risk-assessment tool (RAT) for VTE and educational lectures based on the Brazilian Guidelines for VTE Prophylaxis for Medical Patients and to evaluate the impact of these tools on adequacy of VTE prophylaxis in 4 hospitals in Salvador, Bahia | ||
520 | |a METHODS: We performed two cross-sectional surveys before and after the implementation of the program to compare the proportion of patients at-risk of VTE and the changes in the adequacy of VTE prophylaxis | ||
520 | |a RESULTS: We compared the data of 219 medical patients before with 292 patients after the program. The rates of patients with at least one risk factor for VTE and with contraindications (CI) for heparins were similar: 95% vs. 98% (p=0.13), and 42% vs. 34% (p=0.08), respectively. In both studies, 75% vs. 82% (p=0.06) were candidates for prophylaxis, and 44% vs. 55% (p =0.02) were candidates for prophylaxis and had no CI for heparin. After the program there was an increase in the use of mechanical prophylaxis 0.9% vs. 4.5% (p=0.03) and a decrease in pharmacological prophylaxis, 55.3% vs. 47.9% (p=0.04). However, there was a significant increase of use of the recommended doses of heparins, 53% vs. 75 (p<0.001) | ||
520 | |a CONCLUSION: There is underutilization of VTE prophylaxis in Brazilian hospitals. Strategies based on passive distribution of RAT and educational lectures were not sufficient to improve the practice of prophylaxis, but improved the adequacy of VTE prophylaxis in hospitalized patients | ||
650 | 4 | |a Comparative Study | |
650 | 4 | |a English Abstract | |
650 | 4 | |a Journal Article | |
650 | 4 | |a Multicenter Study | |
650 | 7 | |a Anticoagulants |2 NLM | |
650 | 7 | |a Heparin, Low-Molecular-Weight |2 NLM | |
700 | 1 | |a Paiva, Edison Ferreira de |e verfasserin |4 aut | |
700 | 1 | |a Araújo, Danilo Miranda de |e verfasserin |4 aut | |
700 | 1 | |a Cardoso, Dulceane Natyara |e verfasserin |4 aut | |
700 | 1 | |a Pereira, Aline Cristina da Hora |e verfasserin |4 aut | |
700 | 1 | |a Lopes, Antônio Alberto |e verfasserin |4 aut | |
700 | 1 | |a Darzé, Eduardo S |e verfasserin |4 aut | |
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