Venous thromboembolism risks and prophylaxis in King Fahad Hospital, Madinah, Saudi Arabia

Objective: To evaluate the risk factors, physician’s compliance, and implementation of the American College of Chest Physicians (ACCP) guidelines for venous thromboembolism (VTE) prophylaxis at our hospital. Methods: A retrospective cohort study was conducted in King Fahad Hospital, Madinah, Saudi...

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Main Authors: Ayman Kharaba, Mohammad Al Aboud, Madinah Reham Kharabah, Khaled Alyami, Amal Al Beihany
Format: Article
Language:English
Published: Springer 2019-04-01
Series:Journal of Epidemiology and Global Health
Online Access:https://www.atlantis-press.com/article/125905840/view
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author Ayman Kharaba
Mohammad Al Aboud
Madinah Reham Kharabah
Khaled Alyami
Amal Al Beihany
author_facet Ayman Kharaba
Mohammad Al Aboud
Madinah Reham Kharabah
Khaled Alyami
Amal Al Beihany
author_sort Ayman Kharaba
collection DOAJ
description Objective: To evaluate the risk factors, physician’s compliance, and implementation of the American College of Chest Physicians (ACCP) guidelines for venous thromboembolism (VTE) prophylaxis at our hospital. Methods: A retrospective cohort study was conducted in King Fahad Hospital, Madinah, Saudi Arabia, from July 2015 to September 2015. We used the ACCP 2012 guidelines to assess the VTE risk and to determine whether patients had received the recommended prophylaxis. All hospital inpatients aged 14 years or older were assessed for risk of VTE by reviewing the hospital chart. The primary endpoint was the rate of appropriate thromboprophylaxis. Results: A total of 414 patients were studied. Their mean age was 47.74 ± 20.4 years, and 208 (50.2%) were female. There were 292 (70.5%) patients at high risk and 73 (17.6%) at moderate risk. As per the ACCP criteria, 375 (90.5%) patients were at risk for VTE and qualified for prophylaxis. Although 227 (60.5%) received some form of prophylaxis, only 144 (38.4%) of them received ACCP-recommended VTE prophylaxis. Conclusion: In our hospital, most of the patients are at high risk for developing VTE. The VTE prophylaxis guideline is not properly implemented and is underutilized. Strategies should be developed and implemented to ensure patient safety.
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spelling doaj.art-8d22b8a083d04b97a012da324dca7cf02022-12-22T00:34:31ZengSpringerJournal of Epidemiology and Global Health2210-60062019-04-017410.1016/j.jegh.2017.09.003Venous thromboembolism risks and prophylaxis in King Fahad Hospital, Madinah, Saudi ArabiaAyman KharabaMohammad Al AboudMadinah Reham KharabahKhaled AlyamiAmal Al BeihanyObjective: To evaluate the risk factors, physician’s compliance, and implementation of the American College of Chest Physicians (ACCP) guidelines for venous thromboembolism (VTE) prophylaxis at our hospital. Methods: A retrospective cohort study was conducted in King Fahad Hospital, Madinah, Saudi Arabia, from July 2015 to September 2015. We used the ACCP 2012 guidelines to assess the VTE risk and to determine whether patients had received the recommended prophylaxis. All hospital inpatients aged 14 years or older were assessed for risk of VTE by reviewing the hospital chart. The primary endpoint was the rate of appropriate thromboprophylaxis. Results: A total of 414 patients were studied. Their mean age was 47.74 ± 20.4 years, and 208 (50.2%) were female. There were 292 (70.5%) patients at high risk and 73 (17.6%) at moderate risk. As per the ACCP criteria, 375 (90.5%) patients were at risk for VTE and qualified for prophylaxis. Although 227 (60.5%) received some form of prophylaxis, only 144 (38.4%) of them received ACCP-recommended VTE prophylaxis. Conclusion: In our hospital, most of the patients are at high risk for developing VTE. The VTE prophylaxis guideline is not properly implemented and is underutilized. Strategies should be developed and implemented to ensure patient safety.https://www.atlantis-press.com/article/125905840/view
spellingShingle Ayman Kharaba
Mohammad Al Aboud
Madinah Reham Kharabah
Khaled Alyami
Amal Al Beihany
Venous thromboembolism risks and prophylaxis in King Fahad Hospital, Madinah, Saudi Arabia
Journal of Epidemiology and Global Health
title Venous thromboembolism risks and prophylaxis in King Fahad Hospital, Madinah, Saudi Arabia
title_full Venous thromboembolism risks and prophylaxis in King Fahad Hospital, Madinah, Saudi Arabia
title_fullStr Venous thromboembolism risks and prophylaxis in King Fahad Hospital, Madinah, Saudi Arabia
title_full_unstemmed Venous thromboembolism risks and prophylaxis in King Fahad Hospital, Madinah, Saudi Arabia
title_short Venous thromboembolism risks and prophylaxis in King Fahad Hospital, Madinah, Saudi Arabia
title_sort venous thromboembolism risks and prophylaxis in king fahad hospital madinah saudi arabia
url https://www.atlantis-press.com/article/125905840/view
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