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

Joseph De Zylva, Mark Naunton, Ferenc Szabo, Pascale Dettwiller

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.
Original languageEnglish
Pages (from-to)37-42
Number of pages6
JournalJournal of Pharmacy Practice and Research
Volume42
Issue number1
DOIs
Publication statusPublished - 2012

Fingerprint

Venous Thromboembolism
Guidelines
Tomography
Ultrasonics
Hospital Medical Records Department
Pharmacology
Guideline Adherence
Doppler Ultrasonography
Clinical Coding
Inpatients
Angiography
Outpatients
Lung

Cite this

@article{b197126faa2643a8a42fe5a2f581cff0,
title = "Adherence to Prophylaxis Guidelines for Symptomatic Venous Thromboembolism at a Darwin Hospital",
abstract = "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.",
keywords = "venous thromboembolism",
author = "{De Zylva}, Joseph and Mark Naunton and Ferenc Szabo and Pascale Dettwiller",
year = "2012",
doi = "10.1002/j.2055-2335.2012.tb00129.x",
language = "English",
volume = "42",
pages = "37--42",
journal = "Australian Journal of Hospital Pharmacy",
issn = "0310-6810",
publisher = "Wiley-Blackwell",
number = "1",

}

Adherence to Prophylaxis Guidelines for Symptomatic Venous Thromboembolism at a Darwin Hospital. / De Zylva, Joseph; Naunton, Mark; Szabo, Ferenc; Dettwiller, Pascale.

In: Journal of Pharmacy Practice and Research, Vol. 42, No. 1, 2012, p. 37-42.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Adherence to Prophylaxis Guidelines for Symptomatic Venous Thromboembolism at a Darwin Hospital

AU - De Zylva, Joseph

AU - Naunton, Mark

AU - Szabo, Ferenc

AU - Dettwiller, Pascale

PY - 2012

Y1 - 2012

N2 - 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.

AB - 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.

KW - venous thromboembolism

U2 - 10.1002/j.2055-2335.2012.tb00129.x

DO - 10.1002/j.2055-2335.2012.tb00129.x

M3 - Article

VL - 42

SP - 37

EP - 42

JO - Australian Journal of Hospital Pharmacy

JF - Australian Journal of Hospital Pharmacy

SN - 0310-6810

IS - 1

ER -