Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxis
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000100002 |
Resumo: | OBJECTIVE: to determine the incidence of deep vein thrombosis and prophylaxis quality in hospitalized patients undergoing vascular and orthopedic surgical procedures. METHODS: we evaluated 296 patients, whose incidence of deep venous thrombosis was studied by vascular ultrasonography. Risk factors for venous thrombosis were stratified according the Caprini model. To assess the quality of prophylaxis we compared the adopted measures with the prophylaxis guidelines of the American College of Chest Physicians. RESULTS: the overall incidence of deep venous thrombosis was 7.5%. As for the risk groups, 10.8% were considered low risk, 14.9%moderate risk, 24.3% high risk and 50.5% very high risk. Prophylaxis of deep venous thrombosis was correct in 57.7%. In groups of high and very high risk, adequate prophylaxis rates were 72.2% and 71.6%, respectively. Excessive use of chemoprophylaxis was seen in 68.7% and 61.4% in the low and moderate-risk groups, respectively. CONCLUSION: although most patients are deemed to be at high and very high risk for deep vein thrombosis, deficiency in the application of prophylaxis persists in medical practice. |
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Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxisThromboembolismVenous thrombosisVenous thrombosis/prevention and controlRisk factorsIncidence OBJECTIVE: to determine the incidence of deep vein thrombosis and prophylaxis quality in hospitalized patients undergoing vascular and orthopedic surgical procedures. METHODS: we evaluated 296 patients, whose incidence of deep venous thrombosis was studied by vascular ultrasonography. Risk factors for venous thrombosis were stratified according the Caprini model. To assess the quality of prophylaxis we compared the adopted measures with the prophylaxis guidelines of the American College of Chest Physicians. RESULTS: the overall incidence of deep venous thrombosis was 7.5%. As for the risk groups, 10.8% were considered low risk, 14.9%moderate risk, 24.3% high risk and 50.5% very high risk. Prophylaxis of deep venous thrombosis was correct in 57.7%. In groups of high and very high risk, adequate prophylaxis rates were 72.2% and 71.6%, respectively. Excessive use of chemoprophylaxis was seen in 68.7% and 61.4% in the low and moderate-risk groups, respectively. CONCLUSION: although most patients are deemed to be at high and very high risk for deep vein thrombosis, deficiency in the application of prophylaxis persists in medical practice. Colégio Brasileiro de Cirurgiões2014-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000100002Revista do Colégio Brasileiro de Cirurgiões v.41 n.1 2014reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/S0100-69912014000100002info:eu-repo/semantics/openAccessOkuhara,AlbertoNavarro,Túlio PinhoProcópio,Ricardo JaymeBernardes,Rodrigo De CastroOliveira,Leonardo De Campos CorreaNishiyama,Mariana Paschoaletieng2014-04-22T00:00:00Zoai:scielo:S0100-69912014000100002Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2014-04-22T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxis |
title |
Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxis |
spellingShingle |
Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxis Okuhara,Alberto Thromboembolism Venous thrombosis Venous thrombosis/prevention and control Risk factors Incidence |
title_short |
Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxis |
title_full |
Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxis |
title_fullStr |
Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxis |
title_full_unstemmed |
Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxis |
title_sort |
Incidence of deep vein thrombosis and quality of venous thromboembolism prophylaxis |
author |
Okuhara,Alberto |
author_facet |
Okuhara,Alberto Navarro,Túlio Pinho Procópio,Ricardo Jayme Bernardes,Rodrigo De Castro Oliveira,Leonardo De Campos Correa Nishiyama,Mariana Paschoaleti |
author_role |
author |
author2 |
Navarro,Túlio Pinho Procópio,Ricardo Jayme Bernardes,Rodrigo De Castro Oliveira,Leonardo De Campos Correa Nishiyama,Mariana Paschoaleti |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Okuhara,Alberto Navarro,Túlio Pinho Procópio,Ricardo Jayme Bernardes,Rodrigo De Castro Oliveira,Leonardo De Campos Correa Nishiyama,Mariana Paschoaleti |
dc.subject.por.fl_str_mv |
Thromboembolism Venous thrombosis Venous thrombosis/prevention and control Risk factors Incidence |
topic |
Thromboembolism Venous thrombosis Venous thrombosis/prevention and control Risk factors Incidence |
description |
OBJECTIVE: to determine the incidence of deep vein thrombosis and prophylaxis quality in hospitalized patients undergoing vascular and orthopedic surgical procedures. METHODS: we evaluated 296 patients, whose incidence of deep venous thrombosis was studied by vascular ultrasonography. Risk factors for venous thrombosis were stratified according the Caprini model. To assess the quality of prophylaxis we compared the adopted measures with the prophylaxis guidelines of the American College of Chest Physicians. RESULTS: the overall incidence of deep venous thrombosis was 7.5%. As for the risk groups, 10.8% were considered low risk, 14.9%moderate risk, 24.3% high risk and 50.5% very high risk. Prophylaxis of deep venous thrombosis was correct in 57.7%. In groups of high and very high risk, adequate prophylaxis rates were 72.2% and 71.6%, respectively. Excessive use of chemoprophylaxis was seen in 68.7% and 61.4% in the low and moderate-risk groups, respectively. CONCLUSION: although most patients are deemed to be at high and very high risk for deep vein thrombosis, deficiency in the application of prophylaxis persists in medical practice. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000100002 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912014000100002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0100-69912014000100002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.41 n.1 2014 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209212385198080 |