Evaluation of venous thromboembolism prophylaxis after the introduction of an institutional guideline: Extent of application and implementation of its recommendations

Gharaibeh, Lobna; Albsoul-Younes, Abla; Younes, Nidal A.

doi:10.1016/j.jvn.2014.11.002

Cited by 15 publications

(12 citation statements)

References 14 publications

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“…In accordance with our ndings, a multicenter study from Lebanon in hospitalized patients reported that the rate of appropriate VTE prophylaxis was 65% of patients at low risk, 30% of patients at moderate risk, and 61% of patients at high risk (16). A more recent report from Jordan reported that the rate of appropriate VTE prophylaxis was 67% in patients admitted to Jordan University Hospital; the study also demonstrated low compliance with the institutional guideline (17). Other reports showed low rates of appropriate VTE prophylaxis use and guidelines compliance in Saudi Arabia (18) and…”

Section: Discussionsupporting

confidence: 86%

A Cross-sectional, Multicenter, Observational Study to Assess the Prophylaxis of Venous Thromboembolism in Lebanese and Jordanian Hospitals

Elgebaly

Masri

Bashaireh

et al. 2020

Preprint

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Background There is a growing body of evidence showing substantial underuse of appropriate venous thromboembolism (VTE) prophylaxis in patients at risk. In the present study, our goal was to assess the current practices in the use rate of VTE prophylaxis among hospitalized patients in Jordan and Lebanon. Methods A cross-sectional, multicenter, observational study was conducted on 40 centers across Lebanon and Jordan. We included patients who were admitted to the participating hospitals for the treatment of a serious medical or surgical illness. The patients’ records were screened for the fulfillment of inclusion/exclusion criteria during a single assessment visit. The proportion of medical and surgical patients who were at risk of VTE and the thrombo-prophylactic measures employed by physicians for these patients were assessed according to the American College of Chest Physicians (ACCP 2016) guidelines. Results The present study included 704 patients (400 from Jordan and 304 from Lebanon) with a mean age of 54.9 ± 17.5 years. Almost 59% of the patients received prophylaxis treatment in form of pharmacological anticoagulant prophylaxis and/or mechanical prophylaxis. Low molecular weight heparin was the most commonly used anticoagulant for VTE prophylaxis in 366 out of the total 704 (51.9%) patients in the analysis cohort. Two hundred and sixteen patients (52%, 95% confidence interval [47.1% − 56.9%]) received appropriate prophylactic agents out of 415 patients who were eligible for prophylaxis according to the ACCP 2016 guidelines. On the other hand, 199 (72.1%, 95% confidence interval [66.4% – 77.3%) patients received prophylaxis out of 276 ineligible patients.. The rate of compliance to guidelines showed wide variations according to the type of hospital, specialty, and the patients’ age. The multivariate logistic regression analysis showed that only age was a significant predictor of appropriate VTE prophylaxis (odds ratio [OR] 1.05, P < 0.001). Conclusion The rates of the appropriate use of VTE prophylaxis are low in Lebanon and Jordan. There is a lack of compliance to guidelines for VTE prophylaxis use for hospitalized patients in both countries.

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Section: Discussionsupporting

confidence: 86%

A Cross-sectional, Multicenter, Observational Study to Assess the Prophylaxis of Venous Thromboembolism in Lebanese and Jordanian Hospitals

Elgebaly

Masri

Bashaireh

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In accordance with our ndings, a multicenter study from Lebanon in hospitalized patients reported that the rate of appropriate VTE prophylaxis was 65% of patients at low risk, 30% of patients at moderate risk, and 61% of patients at high risk (17). A more recent report from Jordan reported that the rate of appropriate VTE prophylaxis was 67% in patients admitted to Jordan University Hospital; the study also demonstrated low compliance with the institutional guideline (24). Other reports showed low rates of appropriate VTE prophylaxis use and guidelines compliance in Saudi Arabia (25) and Iran (26).…”

Section: Discussionsupporting

confidence: 86%

A Cross-sectional, Multicenter, Observational Study to Assess the Prophylaxis of Venous Thromboembolism in Lebanese and Jordanian Hospitals

Elgebaly

Masri

Bashaireh

et al. 2020

Preprint

View full text Add to dashboard Cite

Background There is a growing body of evidence showing substantial underuse of appropriate venous thromboembolism (VTE) prophylaxis in patients at risk. In the present study, our goal was to assess the current practices in the use rate of VTE prophylaxis among hospitalized patients in Jordan and Lebanon.Methods A cross-sectional, multicenter, observational study was conducted on 40 centers across Lebanon and Jordan. We included patients who were admitted to the participating hospitals for the treatment of a serious medical or surgical illness. The patients’ records were screened for the fulfillment of inclusion/exclusion criteria during a single assessment visit. The proportion of medical and surgical patients who were at risk of VTE and the thrombo-prophylactic measures employed by physicians for these patients were assessed according to the American College of Chest Physicians (ACCP 2016) guidelines. Results The present study included 704 patients (400 from Jordan and 304 from Lebanon) with a mean age of 54.9 ±17.5 years. Almost 59% of the patients received prophylaxis treatment in form of pharmacological anticoagulant prophylaxis and/or mechanical prophylaxis. Low molecular weight heparin was the most commonly used anticoagulant for VTE prophylaxis in 366 out of the total 704 (51.9%) patients in the analysis cohort. Two hundred and sixteen patients (52 %, 95% confidence interval [47.1% - 56.9%]) received appropriate prophylactic agents out of 415 patients who were eligible for prophylaxis according to the ACCP 2016 guidelines. On the other hand, 199 (72.1%, 95% confidence interval [66.4% – 77.3%) patients received prophylaxis out of 276 ineligible patients.. The rate of compliance to guidelines showed wide variations according to the type of hospital, specialty, and the patients’ age. The multivariate logistic regression analysis showed that only age was a significant predictor of appropriate VTE prophylaxis (odds ratio [OR] 1.05, P <0.001).Conclusion The rates of the appropriate use of VTE prophylaxis are low in Lebanon and Jordan. There is a lack of compliance to guidelines for VTE prophylaxis use for hospitalized patients in both countries.

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“…The term VTE is used to define two clinical manifestations that are closely associated: deep venous thrombosis (DVT) and its main acute complication, pulmonary thromboembolism (PTE) (Gharaibeh, Albsoul-Younes, & Younes, 2015). DVT is characterized by thrombus formation in the deep veins of the lower limbs, which may result in partial or total obstruction of blood flow (Miranda, Matielo, Porto, Marques, & Yoshida, 2015).…”

Section: Introductionmentioning

confidence: 99%

Preventive Measures Of Venous Thromboembolism In The Hospitalized Patient: An Integrative Literature Review

Albuquerque¹,

Costa²,

Martins³

et al. 2017

European Proceedings of Social and Behavioural Sciences

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Venous thromboembolism (VTE) includes two closely associated clinical conditions: deep vein thrombosis (DTV) and its main acute complication, pulmonary embolism (PE). In the hospital setting, venous thromboembolism is a concern because of its high prevalence rate. It is estimated that one in twenty inpatients is at risk of pulmonary embolism, if adequate preventive measures are not applied.These may or may not be pharmacological. In this context, the objective of this study is to identify the non-pharmacological measures recommended to prevent venous thromboembolism in inpatients. An integrative literature review was performed using the PI[C]OD method by searching the following databases: EBSCO host, PubMed, JBI, PEDro, Elsevier-ClinicalKey, Scielo and Google Academic studies published in the períod 2006-2016. From the research were included five articles that met the inclusion criteria. The results of the review found that effective mechanical methods comprised graduated compression stockings and intermittent pneumatic compression devices while for nursing care early mobilization and ambulation were identified as preventive measures of VTE. The studies suggest several benefits of using non-pharmacological measures to prevent venous thromboembolism. The differentiated intervention of the nurse specialist in rehabilitation integrated in the multidisciplinary team can be an added value in the adequacy of these measures.

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Evaluation of venous thromboembolism prophylaxis after the introduction of an institutional guideline: Extent of application and implementation of its recommendations

Cited by 15 publications

References 14 publications

A Cross-sectional, Multicenter, Observational Study to Assess the Prophylaxis of Venous Thromboembolism in Lebanese and Jordanian Hospitals

A Cross-sectional, Multicenter, Observational Study to Assess the Prophylaxis of Venous Thromboembolism in Lebanese and Jordanian Hospitals

A Cross-sectional, Multicenter, Observational Study to Assess the Prophylaxis of Venous Thromboembolism in Lebanese and Jordanian Hospitals

Preventive Measures Of Venous Thromboembolism In The Hospitalized Patient: An Integrative Literature Review

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