Which hospitalized medical patients need deep vein thrombosis (DVT) prophylaxis?

2016 ◽  
Vol 19 (3) ◽  
pp. E-3
Author(s):  
Ho Phong Pham ◽  
Dausen Harker
Keyword(s):  
Deep Vein Thrombosis ◽  
Medical Patients ◽  
Vein Thrombosis ◽  
Dvt Prophylaxis ◽  
Deep Vein

scholarly journals Incidence of Deep Vein Thrombosis in Hospitalized Chinese Medical Patients and the Impact of DVT Prophylaxis

Thrombosis ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Gregory Cheng ◽  
Crystal Chan ◽  
Ying Ting Liu ◽  
Yee Fun Choy ◽  
Mei Mei Wong ◽  
...  
Keyword(s):  
Risk Factors ◽  
Deep Vein Thrombosis ◽  
Doppler Ultrasound ◽  
Medical Patients ◽  
Ultrasound Studies ◽  
Vein Thrombosis ◽  
Dvt Prophylaxis ◽  
Medical Wards ◽  
Deep Vein ◽  
The Impact

Objective. To evaluate the incidence of deep vein thrombosis in hospitalized Chinese medical patients and the impact of DVT prophylaxis. Methods. All cases of confirmed proximal DVT from 1 January 2005 to 31 December 2008 were reviewed retrospectively to determine the presence of risk factors and whether DVT developed: during hospitalization in medical wards or in case of readmission with a diagnosis of DVT within 14 days of discharge from a recent admission to medical wards. The impact of prophylaxis will be estimated by comparing the annual incidence of proximal DVT among medical patients hospitalized from 2005 to 2007 with that of 2008 (DVT prophylaxis commonly used). Results. From 1 January 2005 to 31 December 2008, 3938 Doppler ultrasound studies were performed for suspected DVT. Proximal DVT was diagnosed in 687 patients. The calculated incidence of proximal DVT among medical patients hospitalized for at least two days was , , and for the year 2005, 2006, and 2007, respectively. The incidence was for 2008 (). Conclusion. Proximal DVT was substantial in Chinese medical patients, and DVT prophylaxis might reduce such risk.

Deep Vein Thrombosis Prophylaxis: Audit of Practice in General Surgical Patients in a Teaching Hospital

2000 ◽  
Vol 15 (2) ◽  
pp. 71-74 ◽  
Author(s):  
O. Agu ◽  
A. Handa ◽  
G Hamilton ◽  
D. M. Baker
Keyword(s):  
Deep Vein Thrombosis ◽  
High Risk ◽  
Teaching Hospital ◽  
Surgical Patients ◽  
Thrombosis Prophylaxis ◽  
High Risk Patients ◽  
Vein Thrombosis ◽  
Dvt Prophylaxis ◽  
Risk Patients ◽  
Deep Vein

Objective: To audit the prescription and implementation of deep vein thrombosis (DVT) prophylaxis in general surgical patients in a teaching hospital. Methods: All inpatients on three general surgical wards were audited for adequacy of prescription and implementation prophylaxis (audit A). A repeat audit 3 months later (audit B) closed the loop. The groups were compared using the chi-square test. Results: In audit A 50 patients participated. Prophylaxis was correctly prescribed in 36 (72%) and implemented in 30 (60%) patients. Eighteen patients at moderate or high risk (45%) received inadequate prophylaxis. Emergency admission, pre-operative stay and inadequate risk assignment were associated with poor implementation of protocol. In audit B 51 patients participated. Prescription was appropriate in 45 (88%) and implementation in 40 (78%) patients (p< 0.05). Eleven patients at moderate or high risk received inadequate prophylaxis. Seven of 11 high-risk patients in audit A (64%) received adequate prophylaxis, in contrast to all high-risk patients in audit B. The decision not to administer prophylaxis was deemed appropriate in 5 of 15 (30%) in audit A compared with 6 of 10 (60%) in audit B. Conclusion: Increased awareness, adequate risk assessment, updating of protocols and consistent reminders to staff and patients may improve implementation of DVT prophylaxis.

Prevention of Deep Vein Thrombosis and Pulmonary Embolism in High-Risk Medical Patients

2018 ◽  
Vol 39 (3) ◽  
pp. 483-492 ◽  
Author(s):  
Megan McCullough ◽  
Cyrus Kholdani ◽  
Roham T. Zamanian
Keyword(s):  
Pulmonary Embolism ◽  
Deep Vein Thrombosis ◽  
High Risk ◽  
Medical Patients ◽  
Vein Thrombosis ◽  
Deep Vein

Prevention Of Deep Vein Thrombosis In Medical Patients By Low Dose Subcutaneous Heparin

1981 ◽  
Author(s):  
J J F Belch ◽  
G D O Lowe ◽  
A G Ward ◽  
C D Forbes ◽  
C R M Prentice
Keyword(s):  
Heart Failure ◽  
Deep Vein Thrombosis ◽  
Low Dose ◽  
Randomised Trial ◽  
Medical Patients ◽  
Chest Infection ◽  
Vein Thrombosis ◽  
Subcutaneous Heparin ◽  
Patients With Heart Failure ◽  
Deep Vein

In recent years it has been repeatedly shown that low-dose subcutaneous heparin reduces the incidence of deep vein thrombosis (D.V.T.) after major general surgery. By comparison, the prevention of thrombosis in medical patients has been little studied. A randomised trial was undertaken in one hundred patients with heart failure and/or chest infection to determine whether low-dose subcutaneous heparin reduced the frequency of D.V.T. in the legs. Heparin (5000 units 8 hourly), started within 12 hours of admission to hospital and continued until the patient was fully mobile, significantly reduced the frequency of D.V.T. diagnosed by the 125I- fibrinogen scan technique, from 26% to 4% (p<0.01). Heparin did not cause bleeding problems except for a 20% incidence of injection site bruising. We therefore recommend prophylaxis with low dose subcutaneous heparin in patients with heart failure or chest infection who require more than 3 days’ bed rest.

IMPACT OF TIME OF ADMISSION ON DEEP VEIN THROMBOSIS DVT PROPHYLAXIS IN A CLOSED MEDICAL INTENSIVE CARE UNIT

CHEST Journal ◽  
2007 ◽  
Vol 132 (4) ◽  
pp. 625C
Author(s):  
Hani Jaouni ◽  
Shadi Haddadin ◽  
Lenora Adams ◽  
Joshua S. Botdorf ◽  
Maen B. Nusair ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Deep Vein Thrombosis ◽  
Medical Intensive Care Unit ◽  
Vein Thrombosis ◽  
Dvt Prophylaxis ◽  
Medical Intensive Care ◽  
Time Of Admission ◽  
Deep Vein

All I want for coagulation

2011 ◽  
Vol 56 (4) ◽  
pp. 183-187 ◽  
Author(s):  
K P Nunn ◽  
M R Bridgett ◽  
M R Walters ◽  
I Walker
Keyword(s):  
Deep Vein Thrombosis ◽  
Cochrane Library ◽  
Evidence Based ◽  
Compression Stockings ◽  
Vein Thrombosis ◽  
Dvt Prophylaxis ◽  
Clinical Encounters ◽  
Santa Claus ◽  
The Cochrane Library ◽  
Deep Vein

Evidence-based medicine underpins modern practice of medicine. This paper describes a fictional consultation between Santa Claus and a doctor regarding deep vein thrombosis (DVT) prophylaxis, giving a review of the evidence for DVT prophylaxis in travellers while exposing the difficulty in applying evidence to atypical clinical encounters. Medline and the Cochrane Library were searched, and guidelines reviewed. Keywords used were DVT, thromboembolism, deep vein thrombosis and air travel-related venous thromboembolism. All relevant studies found, have been included in this review, with additional studies identified from the references in these articles. In conclusion, compression stockings, with or without a one-off dose of either aspirin or heparin, are the most evidence-based approaches for prophylaxis in someone with established risk factors for DVT prior to a long-haul flight. Simple exercises should also be encouraged.

Smoking and Risk Factors in Deep Vein Thrombosis

1978 ◽  
Vol 40 (01) ◽  
pp. 128-133 ◽  
Author(s):  
R J Prescott ◽  
D R B Jones ◽  
C Vasilescu ◽  
J T Henderson ◽  
C V Ruckley
Keyword(s):  
Deep Vein Thrombosis ◽  
Cigarette Smoking ◽  
Past History ◽  
Statistical Significance ◽  
Surgical Patients ◽  
Medical Patients ◽  
Vein Thrombosis ◽  
History Of ◽  
Fibrinogen Test ◽  
Deep Vein

SummaryThe incidence of deep vein thrombosis (DVT) as diagnosed by the 125I fibrinogen test (125IFT) was determined in a series of 300 newly admitted medical and 201 surgical patients. 6 medical patients died before 125IFT screening could be completed. The incidence of DVT was l4% in medical patients and 18% in surgical patients. Increasing age, a malignant condition and a past history of thromboembolism all increased the risk of DVT. Increasing levels of cigarette smoking were found to be associated with a reduced incidence of DVT. Although statistical significance was achieved at only the 10% level for this finding it is in agreement with the results from studies on patients with myocardial infarction. The protective effect of cigarette smoking was observed at all ages, and in both medical and surgical patients.

DVT Prophylaxis in the Perioperative Setting

2002 ◽  
Vol 12 (9) ◽  
pp. 326-331 ◽  
Author(s):  
Agnes Arnold
Keyword(s):  
Deep Vein Thrombosis ◽  
Endothelial Damage ◽  
Venous Stasis ◽  
Vein Thrombosis ◽  
Dvt Prophylaxis ◽  
Deep Vein ◽  
The Impact

In last month's BJPN, Agnes Arnold discussed the pathophysiology of deep vein thrombosis and suggested ways that the risk could be reduced, particularly with respect to DVTs resulting from endothelial damage in surgery. In this, the second of a two-part series, Agnes continues by looking at hypercoagulability of blood and venous stasis and the impact of these conditions on the risk of DVT.

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