Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Prophylaxis against Deep Venous Thrombosis in Patients Hospitalized in Surgical Wards in One of the Hospitals in Iran: Based on the American College of Chest Physician's Protocol

Sat Jun 10 19:04:15 2023

(2018) Prophylaxis against Deep Venous Thrombosis in Patients Hospitalized in Surgical Wards in One of the Hospitals in Iran: Based on the American College of Chest Physician's Protocol. International Journal of Preventive Medicine. p. 5. ISSN 2008-7802

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Abstract

Background: There is not enough studies to determine the frequency of using the prophylaxis against deep venous thrombosis (DVT) based on the American College of Chest Physician's (ACCP) guidelines in Iran. Thus, providing such statistics is essential to improve thromboprophylaxis in hospital. The present study aimed to determine the frequency of using the prophylaxis against DVT based on ACCP guidelines in patients hospitalized in surgical wards in one of teaching hospital in Ilam, Iran. Methods: In a cross-sectional, the samples were selected among medical records of patients who were hospitalized and underwent surgery in surgical wards of the hospital from April 2012 to September 2013. Type of prophylaxis was determined based on ACCP guidelines. After reviewing inclusion and exclusion criteria, patients' data were extracted from medical records based on required variables. Results: In reviewing 169 qualified samples, 46.2 (78 patients) were women. Of these, 132 patients were at risk of DVT and needed prophylaxis, only 39 patients (29.5) received prophylaxis. Thromboprophylaxis based on ACCP guidelines had been fully implemented only in 30 cases (22.7) of patients with the risk of DVT.. The highest thromboprophylaxis was in the intensive care unit (46.6) and neurosurgery (37.5), and the least rate was in urology (0). Conclusions: As the results of this study, there are differences between clinical practice and the ACCP guidelines recommendation in prophylaxis against DVT. Thromboprophylaxis has not been implemented based on ACCP guidelines in more than 75 of patients with the risk of DVT. Thus, new strategies are needed to implement thromboprophylaxis against DVT in Iranian hospitals.

Item Type: Article
Creators:
CreatorsEmail
Shohani, M.UNSPECIFIED
Mansouri, A.UNSPECIFIED
Norozi, S.UNSPECIFIED
Parizad, N.UNSPECIFIED
Azami, M.UNSPECIFIED
Keywords: Deep venous thrombosis prophylaxis thromboprophylaxis care setting endorse thromboembolism risk prevention General & Internal Medicine
Divisions:
Page Range: p. 5
Journal or Publication Title: International Journal of Preventive Medicine
Journal Index: ISI
Volume: 9
Identification Number: https://doi.org/10.4103/ijpvm.IJPVM₂₅₉₁₆
ISSN: 2008-7802
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/126

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