Key result
VTE guideline adherence is suboptimal, with ~64% of high-risk patients receiving inappropriate thromboprophylaxis.
Why the study?
Despite validated risk assessment strategies and established prophylactic measures, variation in clinical practice persists, leading to both under- and over-utilisation of thromboprophylaxis in hospitalized medical patients.
Population
100 medical inpatients at Letterkenny University Hospital, Ireland
Comparison
Prescribed pharmacological and mechanical thromboprophylaxis vs local hospital guidelines
Design
Retrospective single-centre clinical audit
Authors
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Clinicians should audit VTE prophylaxis in medical inpatients; confirms persistent gap between guidelines and real-world practice.
Observational (n=100)
No
Adherence to VTE prophylaxis guidelines in medical inpatients is suboptimal, characterized by significant rates of inappropriate under-dosing in high-risk patients and over-prescription in low-risk patients.
Lee et al. (2026) conducted an observational in Venous thromboembolism risk (n=100). Venous thromboembolism prophylaxis guidelines was evaluated on Inappropriate thromboprophylaxis management. Adherence to VTE prophylaxis guidelines was suboptimal, with 64% of high-risk patients and 57.1% of low-risk patients receiving inappropriate thromboprophylaxis.
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