Venous Thromboembolic Disease Prophylaxis Among General Surgeons in Malaysia
The aim of this study was to analyse the current practice of venous thromboembolism (VTE) prophylaxis among general surgeons in Malaysia. Methods: A questionnaire survey was conducted among general surgeons attending the annual Malaysian College of Surgeons meeting in 2002. A total of 110 questionna...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2005-04-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958409602761 |
| _version_ | 1818484854076997632 |
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| author | Subhita Prasannan Liew Ngoh Chin Yunus A. Gu |
| author_facet | Subhita Prasannan Liew Ngoh Chin Yunus A. Gu |
| author_sort | Subhita Prasannan |
| collection | DOAJ |
| description | The aim of this study was to analyse the current practice of venous thromboembolism (VTE) prophylaxis among general surgeons in Malaysia.
Methods: A questionnaire survey was conducted among general surgeons attending the annual Malaysian College of Surgeons meeting in 2002. A total of 110 questionnaires were distributed to specialist-grade general surgeons with varying subspecialty interests.
Results: Seventy-seven (70%) surgeons returned the questionnaire. Of these, 43% were of the opinion that VTE was as common in Asian patients as in the West. Selective VTE prophylaxis was used by 99% in their practice. The indications for use, in order of frequency, were: previous VTE disease, risk grading, prolonged surgery, obesity, malignancy and age. Low molecular weight heparin was the most common type of prophylaxis used. VTE-related morbidity was reported by 44 surgeons (57%) over the past year, and 39% of these cases were fatal.
Conclusion: The high incidence of VTE-related complications indicates that the use of thromboprophylaxis is either insufficient or not matched to the level of risk. Updated guidelines on VTE prophylaxis should be used so that a standardized approach can ensure that patients receive adequate prophylaxis where indicated. |
| first_indexed | 2024-12-10T16:00:23Z |
| format | Article |
| id | doaj.art-ec3535c8664940299f761320563af864 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-10T16:00:23Z |
| publishDate | 2005-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-ec3535c8664940299f761320563af8642022-12-22T01:42:28ZengElsevierAsian Journal of Surgery1015-95842005-04-0128212513010.1016/S1015-9584(09)60276-1Venous Thromboembolic Disease Prophylaxis Among General Surgeons in MalaysiaSubhita PrasannanLiew Ngoh ChinYunus A. GuThe aim of this study was to analyse the current practice of venous thromboembolism (VTE) prophylaxis among general surgeons in Malaysia. Methods: A questionnaire survey was conducted among general surgeons attending the annual Malaysian College of Surgeons meeting in 2002. A total of 110 questionnaires were distributed to specialist-grade general surgeons with varying subspecialty interests. Results: Seventy-seven (70%) surgeons returned the questionnaire. Of these, 43% were of the opinion that VTE was as common in Asian patients as in the West. Selective VTE prophylaxis was used by 99% in their practice. The indications for use, in order of frequency, were: previous VTE disease, risk grading, prolonged surgery, obesity, malignancy and age. Low molecular weight heparin was the most common type of prophylaxis used. VTE-related morbidity was reported by 44 surgeons (57%) over the past year, and 39% of these cases were fatal. Conclusion: The high incidence of VTE-related complications indicates that the use of thromboprophylaxis is either insufficient or not matched to the level of risk. Updated guidelines on VTE prophylaxis should be used so that a standardized approach can ensure that patients receive adequate prophylaxis where indicated.http://www.sciencedirect.com/science/article/pii/S1015958409602761prophylaxissurveythromboembolic diseasevenous |
| spellingShingle | Subhita Prasannan Liew Ngoh Chin Yunus A. Gu Venous Thromboembolic Disease Prophylaxis Among General Surgeons in Malaysia Asian Journal of Surgery prophylaxis survey thromboembolic disease venous |
| title | Venous Thromboembolic Disease Prophylaxis Among General Surgeons in Malaysia |
| title_full | Venous Thromboembolic Disease Prophylaxis Among General Surgeons in Malaysia |
| title_fullStr | Venous Thromboembolic Disease Prophylaxis Among General Surgeons in Malaysia |
| title_full_unstemmed | Venous Thromboembolic Disease Prophylaxis Among General Surgeons in Malaysia |
| title_short | Venous Thromboembolic Disease Prophylaxis Among General Surgeons in Malaysia |
| title_sort | venous thromboembolic disease prophylaxis among general surgeons in malaysia |
| topic | prophylaxis survey thromboembolic disease venous |
| url | http://www.sciencedirect.com/science/article/pii/S1015958409602761 |
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