Évaluation de l’utilisation de la thromboprophylaxie chez les patients hospitalisés dans un centre hospitalier universitaire : un modèle applicable d’évaluation de la qualité de l’acte. Une revue de 320 patients hospitalisés

Lanthier, Luc; Bechard, Daniel; Viens, D; Touchette, Matthieu

doi:10.1016/j.jmv.2010.10.005

Cited by 6 publications

(5 citation statements)

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“…Il faudrait tout de même interpréter avec prudence cette intention élevée de prescription des HBPM par les professionnels de santé dans notre contexte. En réalité, il y a une sous prescription de la thromboprophylaxie comme c'est le cas au Togo (8%) contre 83,7% au Québec [ 13 ]. Cette constatation pourrait être attribuable à plusieurs facteurs: la méconnaissance des indications de la thromboprophylaxie, la faible incidence présumée de la MTEV, l'incidence élevée du risque hémorragique et le coût élevé de l'héparinotherapie.…”

Section: Discussionunclassified

Pratique de la prophylaxie de la maladie thromboembolique veineuse: enquête réalisée auprès des professionnels de santé de la ville de Ouagadougou

et al. 2014

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IntroductionL'impact clinique et l'incidence de la maladie thromboembolique veineuse ont conduit à établir des recommandations pour la thromboprophylaxie. L'objectif de notre étude était d’évaluer la pratique de cette prophylaxie par les professionnels de santé de Ouagadougou.MéthodesIl s'est agi d'une enquête d'intention réalisée dans le mois de mai 2012 au Centre Hospitalier Universitaire Yalgado Ouédraogo et Centre Médical avec Antenne chirurgicale Paul VI. Un questionnaire a été administré auprès des prescripteurs impliqués dans la prophylaxie de la maladie thromboembolique veineuse (MTEV).RésultatsUne interview a été administrée à 86 professionnels de santé dont 20 attachés de santé en anesthésie-réanimation, 17 chirurgiens, 11 médecins généralistes et 07 gynécologue-obstétriciens. Leur expérience professionnelle était inférieure à cinq ans dans 65% des cas et ils exerçaient dans 70% des cas au CHU-YO. Les héparines de bas poids moléculaire étaient les plus utilisées (81,4%) avec une intention de prescription significativement plus élevée en réanimation et en chirurgie (p<0,05). Dans 65,7% des cas, la prophylaxie était maintenue jusqu'à la mobilisation des patients. Le coût élevé de l'héparinothérapie représentait une raison de la non utilisation de la prophylaxie dans 46,5% des cas.ConclusionNous constatons que la réalisation de la prophylaxie de la MTEV reste insuffisante à Ouagadougou en dépit de l'existence de recommandations précises de bonnes pratiques. Ces résultats suggèrent la nécessité de la formation médicale continue des professionnels de santé, avec l’établissement des recommandations de pratique clinique adaptée à notre niveau de développement.

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Section: Discussionunclassified

Pratique de la prophylaxie de la maladie thromboembolique veineuse: enquête réalisée auprès des professionnels de santé de la ville de Ouagadougou

et al. 2014

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“… Data on the estimated number of hospital beds were taken from the Institute of Statistics (INE) of Uruguay for the current study and from the Data World Bank for the rest of the studies (available: https://data.worldbank.org/indicator/SH.MED.BEDS.ZS?end=2019&start=2019&view=map , surveyed April 29, 2023). 29 – 38 It is important to note that in the ENDORSE study, the country that had the highest proportion of hospital beds surveyed was Slovakia with 7.2% of beds included. 39 …”

Section: Discussionmentioning

confidence: 99%

Venous Thromboembolism Risk and Adherence to Pharmacological Thromboprophylaxis in Hospitalized Patients in Uruguay: First Nationwide Study

Mérola,

Pizzarossa,

López

et al. 2024

Clin Appl Thromb Hemost

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Introduction Venous thromboembolism (VTE) is a serious, frequent, and preventable medical complication in hospitalized patients. Although the efficacy of prophylaxis (pharmacological and/or mechanical) has been demonstrated, compliance with prophylaxis is poor at international and national levels. Aim To determine the indication and use of pharmacological thromboprophylaxis in hospitalized patients in Uruguay. Methods An observational, descriptive, cross-sectional, multicentre study involving 31 nationwide healthcare facilities was conducted. Baseline characteristics associated with hospital admission, the percentage of the population with an indication for thromboprophylaxis, and the percentage of patients receiving pharmacological thromboprophylaxis were assessed. The VTE risk was determined using the Padua score for medical patients; the Caprini score for surgical patients; the Royal College of Obstetricians and Gynaecologists (RCOG) guidelines for pregnant-postpartum patients. Results 1925 patients were included, representing 26% of hospitalized patients in Uruguay. 71.9% of all patients were at risk of VTE. Of all patients at risk of VTE, 58.6% received pharmacological thromboprophylaxis. The reasons for not receiving thromboprophylaxis were prescribing omissions in 16.1% of cases, contraindication in 15.9% and 9.4% of patients were already anticoagulated for other reasons. Overall, just 68% of patients were “protected” against VTE. Recommendations of major thromboprophylaxis guidelines were followed in 70.1% of patients at risk. Conclusions Despite the progress made in adherence to thromboprophylaxis indications, nonadherence remains a problem, affecting one in six patients at risk of VTE in Uruguay

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“…Worldwide, venous thromboembolic disease is a real public health problem because of its high incidence and frequent fatal complications [2,3]. In Burundi, the incidence of deep vein thrombosis of the lower limbs is estimated at 1.73% [6].…”

Section: Discussionmentioning

confidence: 99%

“…Its incidence is estimated at 140 per 100,000 people per year in the general population [2]. Pulmonary embolism is one of the leading causes of cardiovascular mortality, accounting for 5 to 10% of in-hospital deaths [3]. In a country with limited sources where there is a lack of material and technical means with low purchasing power, the management of venous thrombosis embolism (VTE) should be focused on prevention.…”

Section: Introductionmentioning

confidence: 99%

“…However, recommendations are more difficult to implement because of the heterogeneity of situations and risk factors presented by patients [4]. According to the literature [3], many guidelines are proposed for VTE prophylaxis and the practice guideline developed periodically by the American College of Chest Physicians (ACCP) has become the international standard.…”

Section: Introductionmentioning

confidence: 99%

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Hospital thromboprophylaxy in country with low income: Case of the university hospital center of Kamenge, Bujumbura, Burundi

Thierry

2021

IJCCCI

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Background: Venous thromboembolic disease is a real public health problem worldwide because of its high incidence and frequent fatal complications. In a country with limited resources, there is a lack of technical and material resources with low purchasing power. Aim: To determine the epidemiological and clinical aspects of venous thromboembolic disease in Burundian hospitals among patients undergoing prophylaxis. Patients and Methods: This was a prospective descriptive study conducted at kamenge university hospital from September 2019 to December 2019. Was included any patient hospitalized in the internal medicine, surgery and gyneco-obstetrics departments. Results: A total of 352 patients had been hospitalized in the three departments and 66 of them had benefited from thromboprophylaxis, i.e. 18.7% of cases. Among the factors of thrombosis, bed rest for more than 3 days predominated with 96% of cases. Enoxaparin topped the list of low molecular weight heparins prescribed. No physical means were used as thromboprophylaxis. Conclusion: Thromboprophylaxis is underused in our hospitals. In order to reduce the negative impact of thromboembolic disease, health personnel must be trained in its management and the population must be made aware of it.

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Évaluation de l’utilisation de la thromboprophylaxie chez les patients hospitalisés dans un centre hospitalier universitaire : un modèle applicable d’évaluation de la qualité de l’acte. Une revue de 320 patients hospitalisés

Cited by 6 publications

References 10 publications

Pratique de la prophylaxie de la maladie thromboembolique veineuse: enquête réalisée auprès des professionnels de santé de la ville de Ouagadougou

Pratique de la prophylaxie de la maladie thromboembolique veineuse: enquête réalisée auprès des professionnels de santé de la ville de Ouagadougou

Venous Thromboembolism Risk and Adherence to Pharmacological Thromboprophylaxis in Hospitalized Patients in Uruguay: First Nationwide Study

Hospital thromboprophylaxy in country with low income: Case of the university hospital center of Kamenge, Bujumbura, Burundi

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