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Titolo:
The prevalence of prophylaxis for deep vein thrombosis in acute hospital trusts
Autore:
Campbell, SE; Walker, AE; Grimshaw, JM; Campbell, MK; Lowe, GDO; Harper, D; Fowkes, FGR; Petrie, JC;
Indirizzi:
Univ Aberdeen, Hlth Serv Res Unit, Aberdeen AB25 2ZD, Scotland Univ Aberdeen Aberdeen Scotland AB25 2ZD it, Aberdeen AB25 2ZD, Scotland Univ Glasgow, Dept Med, Glasgow G12 8QQ, Lanark, Scotland Univ Glasgow Glasgow Lanark Scotland G12 8QQ ow G12 8QQ, Lanark, Scotland Aberdeen Royal Infirm, Dept Day Surg, Aberdeen, Scotland Aberdeen Royal Infirm Aberdeen Scotland pt Day Surg, Aberdeen, Scotland Univ Edinburgh, Dept Publ Hlth Sci, Edinburgh EH8 9YL, Midlothian, Scotland Univ Edinburgh Edinburgh Midlothian Scotland EH8 9YL Midlothian, Scotland Univ Aberdeen, Dept Med & Therapeut, Aberdeen, Scotland Univ Aberdeen Aberdeen Scotland ept Med & Therapeut, Aberdeen, Scotland
Titolo Testata:
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
fascicolo: 4, volume: 13, anno: 2001,
pagine: 309 - 316
SICI:
1353-4505(200108)13:4<309:TPOPFD>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
MOLECULAR-WEIGHT HEPARIN; VENOUS THROMBOEMBOLISM; PREVENTION; AUDIT; SURGERY; HIP;
Keywords:
deep vein thrombosis; DVT prophylaxis; effective professional practice; heparin; prevalence; pulmonary embolism; quality of care;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Walker, AE Univ Aberdeen, Hlth Serv Res Unit, Polwarth Bldg, Aberdeen AB252ZD, Scotland Univ Aberdeen Polwarth Bldg Aberdeen Scotland AB25 2ZD cotland
Citazione:
S.E. Campbell et al., "The prevalence of prophylaxis for deep vein thrombosis in acute hospital trusts", INT J QUAL, 13(4), 2001, pp. 309-316

Abstract

Objective. The effectiveness of activities to promote routine prophylaxis to prevent thromboembolism is difficult to assess because information aboutthe prevalence of prophylaxis is sparse. The aim of this study was to assess the prevalence of deep vein thrombosis (DVT) prophylaxis for patients atrisk in general medicine, general surgery, orthopaedics and gynaecology inScotland and the North of England. Design. Retrospective case note review of a random sample of episodes of care in a stratified random sample of directorates in Scotland and a convenience sample in England. Setting. Twenty acute hospital directorates in Scotland and eight in the North of England. Participants. Case notes of patients at risk of thrombosis and discharged from the selected directorates in a 12-month period (n = 742). Main outcome measures. The proportion of patients receiving prophylaxis ineach directorate. Results. Overall, 469/526 (89%) of patients in Scotland and 199/216 (92%) in England received prophylaxis. The proportion varied from 71% in general medicine to 100% in orthopaedics. The frequency of use of different forms of prophylaxis varied between directorates. Approximately 60% of the patients who received prophylaxis received more than one form. Conclusions. Prophylaxis for DVT is well established for procedures and conditions that are known to increase the risk of thrombosis and for which there are no contraindications. Additional efforts to promote prophylaxis forthese conditions are unlikely to be cost effective. Further research is needed to establish whether rates are equally high in other conditions, and whether the high prophylaxis rates are due to clinical effectiveness initiatives.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/05/20 alle ore 02:23:07