Prevalence of venous thromboembolism risk factors and prophylactic adequacy among general surgical patients in a tertiary care hospital

Chandrakumar, Abin; Sajid, Ashara; Suriyaprakash, T.N.K.; Ajmal, Kiran

doi:10.1016/j.ihj.2015.12.003

Cited by 5 publications

(8 citation statements)

References 12 publications

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“…The main risk factors found in our study were major surgery (87.5%), age > 40 years (72.5%), bed rest (68.8%), malignancy (33.8%) and obesity (27.5%). Similar results have been reported in surgical patients in several studies in Africa and the rest of the world [5] [10] [11]. The risk of thromboembolism was high or highest (Caprini score ≥ 3) in most of our patients (80%).…”

Section: Discussionsupporting

confidence: 90%

“…Thus, the majority of surgical patients have thromboembolic risk levels that require perioperative prevention of VTE [5] [8] [10] [11].…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative thromboprophylaxis was mainly based on early patient mobilization in our study (92.5%). It was used as the sole prophylaxis strategy in 64% of patients in India in the Chandrakumar study [11]. This could be explained by the fact that it is the preventive means which is the easiest and the least expensive to carry out.…”

Section: Discussionmentioning

confidence: 99%

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Prevention of Venous Thromboembolism in General Surgery at Gabriel Touré University Hospital in Mali

Traoré¹,

Konaté²,

Diarra³

et al. 2021

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Through its impact on morbidity and mortality and the cost of medical care, Venous Thromboembolism (VTE) has a significant influence on the quality of care in a surgical environment. The objectives were to determine the risk of postoperative venous thromboembolism and to assess its prophylactic management in the general surgery department of Gabriel Toure University Hospital. This was a prospective observational study from May 01, 2018 to December 31, 2018. It included all patients of 18 years old and over, operated in regulated surgery, under general anesthesia in the department. For all of these patients, Caprini score was used to assess the risk of VTE. The ninth American College of Chest Physicians' Consensus was used as guidelines to assess Thromboprophylaxis practices in the ward. The Caprini score was evaluated in 80 patients for 8 months. The average age was 50.2 years. The sex ratio was 0.48. The risk level of VTE was low in three patients (3.8%), moderate in 13 patients (16.3%), high in 34 patients (42.5%) and highest in 30 patients (37.5%). The main risk factors found were major surgery (87.5%), age > 40 years (72.5%), cancer (33.8%), bed rest (31.2%), obesity (27.5%) and minor surgery (12.5%). Early mobilization was performed in all patients. Pharmacologic prophylaxis was required in 80% of our patients but only 38.8% had received low molecular weight heparin. VTE complicated 5 procedures, including 3 cases of deep vein thrombosis of the limbs and 2 cases of pulmonary embolism who died. Venous thromboembolism is serious and common in surgical settings. Its prevention remains insufficient in our context.

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Section: Discussionsupporting

confidence: 90%

“…Thus, the majority of surgical patients have thromboembolic risk levels that require perioperative prevention of VTE [5] [8] [10] [11].…”

Section: Discussionmentioning

confidence: 99%

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Prevention of Venous Thromboembolism in General Surgery at Gabriel Touré University Hospital in Mali

Traoré¹,

Konaté²,

Diarra³

et al. 2021

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“…Although the acquired risk factors in Asians are similar to the Western population, Table 5 Risk assessment models validated in India. [77][78][79][80][81] RAM used…”

Section: Utility Of Rams In Indiamentioning

confidence: 99%

“…Panda et al, 2017 [80] A single-center prospective study, of one-year duration in Maharashtra, India. The study enrolled 210 patients admitted to the ICU and surgery ward.…”

Section: Studies Evaluating Ram Study Design Study Outcomesmentioning

confidence: 99%

A review of venous thromboembolism risk assessment models for different patient populations: What we know and don’t!

Mehta

Bhave

2023

Medicine

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Venous thromboembolism (VTE) is a common cause of morbidity and mortality in hospitalized patients. Globally, it is also the third leading vascular disease, after myocardial infarction and stroke. The incidence of VTE is reportedly higher in Western countries than in Asian countries. However, recent reports suggest an increasing incidence of VTE in Asian countries, including India. Since VTE is largely a preventable disease, early identification of risk factors can lead to disease prevention or the adoption of appropriate prophylactic measures. To this end, several VTE risk assessment models (RAMs) have been developed and validated for different populations who are at risk of developing VTE, such as hospitalized patients with medical illness/surgical indication, patients with cancer, and pregnant women. Evidence indicates that the systematic use of RAMs improves prophylaxis rates and lowers the burden of VTE. Given the increasing burden of VTE in the Indian population and poor prophylaxis rates, the implementation of systematic RAMs in routine clinical practice might ameliorate the disease burden in the country. We have assessed the evidence-based utilities of available RAMs and have delineated the most common and suitable RAMs for different populations including coronavirus disease 2019 affected patients. This review depicts the current status of implementation and validation of RAMs in the Indian scenario. It also highlights the need for additional validation studies, improved awareness, and implementation of RAMs in clinical practice for lowering the burden of VTE.

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Education and clinical pharmacist-led management strategies for the risk and prophylaxis of venous thromboembolism in general surgery

Kiracı,

Yalçın,

Cennet

et al. 2023

Thrombosis J

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Background Despite the risks of venous thromboembolism (VTE) in surgical patients are well defined, primary thromboprophylaxis (TP) can be neglected. The aim of this study was to evaluate the risk of VTE and appropriateness of TP and to assess the effects of education and clinical pharmacy (CP) services. Methods This study was conducted in a total of 3 periods (n = 800): pre-education (n = 340), post-education (n = 269) and CP intervention period (n = 191) and the risk of VTE and the appropriateness of TP were evaluated. At the end of pre-education period, patients were re-evaluated after education was given about the guidelines on TP and an educative poster was posted in the services (post-education period). During the CP intervention period, the CP made recommendations in terms of optimal TP use to the physicians in charge. Results While there was no significant difference in the optimal TP rate administered to the patients before and after education (138/340, 40.6% vs. 122/269, 45.4%; p = 0.238); this rate was increased to 113/191 (59.2%) in the CP intervention period (p = 0.004). High-risk patients who received one type of TP constituted the majority of patients who did not receive optimal TP. While the ratio of high-risk patients undergoing a single type of TP in the pre- and post-education periods (104/340, 30.6% vs. 83/269, 30.9%), was similar (p = 0.819); with the CP interventions, this rate was reduced to 35/191 (18.3%) (p = 0.001). Conclusion Even though education has positive influence on surgeons, the implementation of CP practices is more effective especially in terms of maintaining optimal TP.

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Prevalence of venous thromboembolism risk factors and prophylactic adequacy among general surgical patients in a tertiary care hospital

Cited by 5 publications

References 12 publications

Prevention of Venous Thromboembolism in General Surgery at Gabriel Touré University Hospital in Mali

Prevention of Venous Thromboembolism in General Surgery at Gabriel Touré University Hospital in Mali

A review of venous thromboembolism risk assessment models for different patient populations: What we know and don’t!

Education and clinical pharmacist-led management strategies for the risk and prophylaxis of venous thromboembolism in general surgery

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Prevalence of venous thromboembolism risk factors and prophylactic adequacy among general surgical patients in a tertiary care hospital

Cited by 5 publications

References 12 publications

Prevention of Venous Thromboembolism in General Surgery at Gabriel Tour&#233; University Hospital in Mali

Prevention of Venous Thromboembolism in General Surgery at Gabriel Tour&#233; University Hospital in Mali

A review of venous thromboembolism risk assessment models for different patient populations: What we know and don’t!

Education and clinical pharmacist-led management strategies for the risk and prophylaxis of venous thromboembolism in general surgery

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Prevention of Venous Thromboembolism in General Surgery at Gabriel Touré University Hospital in Mali

Prevention of Venous Thromboembolism in General Surgery at Gabriel Touré University Hospital in Mali