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2013, Number 3

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Gac Med Mex 2013; 149 (3)

Awareness about venous thromboembolic disease among residents and graduates in internal medicine

Majluf-Cruz A, Aragón-García D, Castro MG, Liceaga-Cravioto G, Herrera CMA, Alcántar-Luna E, Majluf-Cruz K, Espinosa-Larrañaga F, García-Chávez J

Language: Spanish
References: 42
Page: 254-264
PDF size: 103.58 Kb.


ABSTRACT

Aims. To evaluate the awareness regarding venous thromboembolism (VTE) among Mexican graduated internists and internal medicine residents. Material and methods. We designed a cross-sectional survey using a questionnaire applied to internists mainly during academic meetings. Results. We collected 1,220 questionnaires. General knowledge about VTE and its risk factors for medical and surgical patients and the medical skills to perform the diagnosis of this disease was quite low. Assessment of the global risk for VTE is not properly done in surgical and medical patients. Level of awareness about these issues was not essentially different between graduated internists and residents. Conclusions. Awareness regarding VTE risk factors and the degree of diagnostic skills among Mexican internists is very low without significant differences between graduated physicians and residents.


REFERENCES

  1. Piazza G, Goldhaber SZ. Acute pulmonary embolism. Part I: Epidemiology and diagnosis. Circulation. 2006;114:e28-e32.

  2. Cohen AT, Agnelli G, Anderson FA, et al. Venous thromboembolism in Europe: the number of VTD events and associated morbidity and mortality. Thromb Haemost. 2007;98:756-64.

  3. Geerts WH, Pineo GF, Heit J, et al. Prevention of venous thromboembolism. The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest. 2004;126 Suppl 3:338-400.

  4. Geerts WH, Bergqvist D, Pineo GF, et al. Prevention of venous thromboembolism. American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. 8th ed. Chest. 2008;133(Suppl):381-453.

  5. Linblad B, Sternby NH, Bergqvist D. Incidence of venous thromboembolism verified by necropsy over 30 years. BMJ. 1991;302:709-11.

  6. Sandler DA, Martin JF. Autopsy proven pulmonary embolism in hospital patients: are we detecting enough deep vein thrombosis? J R Soc Med. 1989;82:203-5.

  7. Alikhan R, Peters F, Wilmott R, Cohen AT. Fatal pulmonary embolism in hospitalised patients: a necropsy review. J Clin Pathol. 2004;57:1254-7.

  8. Anderson FA Jr, Wheeler HB, Goldberg RJ, et al. A population-based perspective of the hospital incidence and case fatality rates of deep vein thrombosis and pulmonary embolism: the Worcester DVT study. Arch Intern Med. 1991;151:933-8.

  9. Monreal M, Kakkar AK, Caprini JA, et al. The outcome after treatment of venous thromboembolism is different in surgical and acutely ill medical patients: findings from the RIETE registry. J Thromb Haemost. 2004;2:1892-8.

  10. Prandoni P, Villalta S, Bagatella P, et al. The clinical course of deep-vein thrombosis. Prospective long-term follow-up of 528 symptomatic patients. Haematologica. 1997;82:423-8.

  11. Stein PD, Beemath A, Olson RE. Trends in the incidence of pulmonary embolism and deep venous thrombosis in hospitalized patients. Am J Cardiol. 2005;95:1525-6.

  12. Piazza G, Seddighzadeh A, Goldhaber SZ. Double trouble for 2,609 hospitalized medical patients who developed deep vein thrombosis. Prophylaxis omitted more often and pulmonary embolism more frequent. Chest. 2007;132:554-61.

  13. Yu HT, Dylan ML, Lin J, Dubois RW. Hospitals’ compliance with prophylaxis guidelines for venous thromboembolism. Am J Health Syst Pharm. 2007;64:69-76.

  14. Cohen AT, Alikhan R, Arcelus JI, et al. Assessment of venous thromboembolism risk and the benefits of thromboprophylaxis in medical patients. Thromb Haemost. 2005;94:750-9.

  15. Spyropoulos AC. Emerging strategies in the prevention of venous thromboembolism in hospitalized medical patients. Chest. 2005;128:958-69.

  16. Majluf-Cruz A, Castro Martínez G, Herrera Cornejo MA, Liceaga-Cravioto G, Espinosa-Larrañaga F, García-Chávez J. Awareness regarding venous thromboembolism among internal medicine practitioners in Mexico: a national cross-sectional study. Internal Medicine Journal. 2011 Dec 8. doi: 10.1111/j.1445-5994.2011.02646.x. [Epub ahead of print]

  17. Alikhan R, Cohen AT, Combe S, et al. Risk factors for venous thromboembolism in hospitalized patients with acute medical illness: analysis of the MEDENOX study. Arch Intern Med. 2004;164:963-8.

  18. Thromboembolic Risk Factors (THRIFT) Consensus Group. Risk of and prophylaxis for venous thromboembolism in hospital patients. BMJ. 1992;305:567-74.

  19. Goldhaber SZ, Savage DD, Garrison RJ, et al. Risk factors for pulmonary embolism: the Framingham study. Am J Med. 1983;74:1023-8.

  20. Samama MM. An epidemiologic study of risk factors for deep vein thrombosis in medical outpatients: the Sirius study. Arch Intern Med. 2000;160:3415-20.

  21. Silverstein MD, Heit JA, Mohr DN, Petterson TM, O’Fallon WM, Melton LJ 3rd. Trends in the incidence of deep vein thrombosis and pulmonary embolism: a 25-year population-based study. Arch Intern Med. 1998;158:585-93.

  22. Cogo A, Bernardi E, Prandoni P, et al. Acquired risk factors for deepvein thrombosis in symptomatic outpatients. Arch Intern Med. 1994; 154:164-8.

  23. Hansson PO, Welin L, Tibblin G, Eriksson H. Deep vein thrombosis and pulmonary embolism in the general population: the study of men born in 1913. Arch Intern Med. 1997;157:1665-70.

  24. White RH, Zhou H, Romano PS. Incidence of symptomatic venous thromboembolism after different elective or urgent surgical procedures. Thromb Haemost. 2003;90:446-55.

  25. Nordström M, Lindblad B, Bergqvist D, Kjellström T. A prospective study of the incidence of deep-vein thrombosis within a defined urban population. J Intern Med. 1992;232:155-60.

  26. Carson JL, Kelley MA, Duff A, et al. The clinical course of pulmonary embolism. N Engl J Med. 1992;326:1240-5.

  27. Green KB, Silverstein RL. Hypercoagulability in cancer. Hematol Oncol Clin North Am. 1996;10:499-530.

  28. Luzzatto G, Schafer AI. The prethrombotic state in cancer. Semin Oncol. 1990;17:147-59.

  29. Enders JM, Burke JM, Dobesh PP. Prevention of venous thromboembolism in acute medical illness. Pharmacotherapy. 2002;22:1564-78.

  30. Nicolaides AN, Breddin HK, Fareed J, Goldhaber S, Haas S, Hull R. Prevention of venous thromboembolism. International Consensus Statement. Guidelines compiled in accordance with the scientific evidence. Int Angiol. 2001;20:1-37.

  31. Francis CW. Prophylaxis for thromboembolism in hospitalized medical patients. N Engl J Med. 2007;356:1438-44.

  32. Haas SK. Venous thromboembolic risk and its prevention in hospitalized medical patients. Semin Thromb Haemost. 2002;28:577-83.

  33. Stinnett JM, Pendleton R, Skordos L, Wheeler M, Rodgers GM. Venous thromboembolism prophylaxis in medically ill patients and the development of strategies to improve prophylaxis rates. Am J Hematol. 2005;78:167-72.

  34. Kahn SR, Panju A, Geerts W, et al. Multicenter evaluation of the use of venous thromboembolism prophylaxis in acutely ill medical patients in Canada. Thromb Res. 2007;119:145-55.

  35. Chopard P, Dörffler-Melly J, Hess U, et al. Venous thromboembolism prophylaxis in acutely ill medical patients: definite need for improvement. J Intern Med. 2005;257:352-7.

  36. Cohen AT, Tapson VF, Bergmann JF, et al. Venous thromboembolism risk and prophylaxis in the acute hospital care setting (ENDORSE study): a multinational cross-sectional study. Lancet. 2008;371:387-94.

  37. Tapson VF, Decousus H, Pini M, et al. Venous thromboembolism prophylaxis in acutely ill hospitalized medical patients: findings from the international medical prevention registry on venous thromboembolism. Chest. 2007;132:936-45.

  38. II Conteo de Población y Vivienda 2005. Instituto Nacional de Estadística, Geografía e Informática. México, 2010. Disponible en: www.inegi.org.mx/est/contenidos/proyectos.

  39. Instituto Mexicano del Seguro Social. Estadísticas generales. México, 2010. Disponible en: http://www.imss.gob.mx/estadisticas/financieras/m_est2008cap_3.htm.

  40. Spencer FA, Lessard D, Emery C, Reed G, Goldberg RJ. Venous thromboembolism in the outpatient setting. Arch Intern Med. 2007;167:1471-5.

  41. Rashid ST, Thursz MR, Razvi NA, et al. Venous thromboprophylaxis in UK medical inpatients. J R Soc Med. 2005;98:507-12.

  42. Zakai NA, Wright J, Cushman M. Risk factors for venous thrombosis in medical inpatients: validation of a thrombosis risk score. J Thromb Haemost. 2004;2:2156-61.




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