What question did this study set out to answer?

To assess clinical patterns, indications, and prophylactic regimens used for deep vein thrombosis prevention across various surgical specialties in Australia and New Zealand.

August 1, 1992Australian and New Zealand Journal of Surgery

Deep Vein Thrombosis Prophylaxis: A Survey of Current Practice in Australia and New Zealand

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Why the study?

What are the current practices for deep vein thrombosis prophylaxis in Australia and New Zealand?

Population

Medical practitioners/surgeons in Australia and New Zealand surveyed regarding DVT prophylaxis practices

Design

Cross-sectional

Authors

JFJohn FletcherBarking, Havering And Redbridge University Hospitals NHS Trust JKJerry KouttsScripps Research Institute POPaul OckelfordAuckland City Hospital

Discussion

Member takes

Implication

Current practices should inform but not dictate DVT prophylaxis decisions; leaves open whether safer agents improve outcomes in prospective trials.

Key Points

To assess clinical patterns, indications, and prophylactic regimens used for deep vein thrombosis prevention across various surgical specialties in Australia and New Zealand.
Administered a cross-sectional practice survey to surgical practitioners across Australia and New Zealand.
Evaluated prophylaxis adoption rates across surgical procedures, preferred mechanical and pharmacological methods, complication rates, and diagnostic strategies.
Prophylaxis was used in 65% of hip surgeries, 39% of knee surgeries, approximately 67% of major general and abdominal vascular surgeries, and under 50% in most other specialties.
Physical modalities were most common (46%), followed by heparin (40%), with bleeding reported as the predominant heparin side effect (18%).
Estimated DVT and pulmonary embolism incidences were 2.8% and 0.4% in general surgery, 2.7% and 0.7% in orthopaedic surgery, and 6.6% and 1.3% in hip surgery.

Structured PICO

What are the current practices for deep vein thrombosis prophylaxis in Australia and New Zealand?

Population

Medical practitioners/surgeons in Australia and New Zealand surveyed regarding DVT prophylaxis practices

Intervention

Survey of DVT prophylaxis practices (physical methods, heparin)

Outcome

Current practice patterns for DVT prophylaxis

This survey highlights that physical methods and heparin are the most common DVT prophylaxis strategies in Australia and New Zealand, with a recognized need for agents with better efficacy and lower bleeding risk.

Cite This Study

Fletcher et al. (1992) studied this question.

synapsesocial.com/papers/6a7379843800ec2ea6a72ad4 https://doi.org/10.1111/j.1445-2197.1992.tb07529.x

Topics

Anticoagulation in AF

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Implication

Current practices should inform but not dictate DVT prophylaxis decisions; leaves open whether safer agents improve outcomes in prospective trials.

Deep Vein Thrombosis Prophylaxis: A Survey of Current Practice in Australia and New Zealand

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Deep Vein Thrombosis Prophylaxis: A Survey of Current Practice in Australia and New Zealand

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider