Follow-up of guidelines and impact on the management of suspected deep vein thrombosis in emergency departments

Riporto, V.-A.; Lefebvre, T.; Bertoletti, Laurent; Martinez, M.

doi:10.1016/j.jdmv.2020.10.125

Cited by 1 publication

(1 citation statement)

References 30 publications

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“…Healthcare professionals often prioritize mechanical prophylactic measures, e.g., early exercise, massage, or pneumatic compression devices, to minimize the risk of rebleeding in ICH patients, leading to the limited implementation of pharmacological prophylaxis for DVT [ 11 ]. Addressing the identified barriers, promoting awareness, and fostering adherence to guidelines can play crucial roles in reducing DVT incidence, improving patient outcomes, and minimizing additional financial costs for this vulnerable population [ 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

Implementation of early prophylaxis for deep-vein thrombosis in intracerebral hemorrhage patients: an observational study from the Chinese Stroke Center Alliance

Zhang,

Sun,

Xing

et al. 2024

Thrombosis J

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Background There is substantial evidence to support the use of several methods for preventing deep-vein thrombosis (DVT) following intracerebral hemorrhage (ICH). However, the extent to which these measures are implemented in clinical practice and the factors influencing patients’ receipt of preventive measures remain unclear. Therefore, we aimed to evaluate the rate of the early implementation of DVT prophylaxis and the factors associated with its success in patients with ICH. Methods This study enrolled 49,950 patients with spontaneous ICH from the Chinese Stroke Center Alliance (CSCA) between August 2015 and July 2019. Early DVT prophylaxis implementation was defined as an intervention occurring within 48 h after admission. Univariate and multivariate logistic regression analyses were conducted to identify the rate and factors associated with the implementation of early prophylaxis for DVT in patients with ICH. Results Among the 49,950 ICH patients, the rate of early DVT prophylaxis implementation was 49.9%, the rate of early mobilization implementation was 29.49%, and that of pharmacological prophylaxis was 2.02%. Factors associated with an increased likelihood of early DVT prophylaxis being administered in the multivariable model included receiving early rehabilitation therapy (odds ratio [OR], 2.531); admission to stroke unit (OR 2.231); admission to intensive care unit (OR 1.975); being located in central (OR 1.879) or eastern regions (OR 1.529); having a history of chronic obstructive pulmonary disease (OR 1.292), ischemic stroke (OR 1.245), coronary heart disease or myocardial infarction (OR 1.2); taking antihypertensive drugs (OR 1.136); and having a higher Glasgow Coma Scale (GCS) score (OR 1.045). Conversely, being male (OR 0.936), being hospitalized in tertiary hospitals (OR 0.778), and having a previous intracranial hemorrhage (OR 0.733) were associated with a lower likelihood of early DVT prophylaxis being administered in patients with ICH. Conclusions The implementation rate of early DVT prophylaxis among Chinese patients with ICH was subpar, with pharmacological prophylaxis showing the lowest prevalence. Various controllable factors exerted an impact on the implementation of early DVT prophylaxis in this population.

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Section: Discussionmentioning

confidence: 99%