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2009, Number 2

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Med Sur 2009; 16 (2)

Venous thromboaembolic disease and its prophylaxis.Challenges that face the Hospital

Zavaleta BM, Calderón VM, Castorena AG, Rosete A

Language: Spanish
References: 12
Page: 44-49
PDF size: 119.38 Kb.


ABSTRACT

Background: Venous thromboembolic disease (VTE) is responsible for at least 10% of deaths in European hospitals, and is the first preventable cause of mortality in hospitalized patients. In Mexico there is a lack of information regarding this problem, the incidence in hospitalized patients could be as high as 60% and it depends on the risk factors and diseases found in each individual. Most importantly is the fact that this figures could be halved with the use of proper prophylaxis. Objectives: Identify the real risk to develop VTE as well as the prophylactic measures applied to hospitalized patients during all their hospital stay. Methods: A case series involving adult patients hospitalized during a 16-day period in February 2008, was conducted. Results: 185 patients were included; mean age was 45 ±17 years with a minimal length of stay of 1 day. One hundred fifty patients were found to have at least one risk factor to develop VTE. According to the 2004 ACCP guidelines, 56 patients were classified in the intermediate risk group, 31 patients in the high risk group and 26 patients in the very high risk group. Prophylaxis was given in only 35.5% of the patients, mainly with non pharmacological measures (48.7%). Conclusions. A reduced utilization of prophylactic antithrombotic measures in hospitalized patients was found. Paradoxically the high risk group was the one with less prophylactic care. We believe, according to this study, that regulatory policies to increase the use of adequate DVT prophylaxis are mandatory.


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