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July 1, 2021International Journal for Quality in Health Care

Quality gap in venous thromboembolism prophylaxis practices in inpatients: Assessment of prophylaxis practices in a University Hospital

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Key result

Pharmacological VTE prophylaxis was significantly underused, with only 30.3% of high-risk inpatients receiving appropriate prophylaxis.

Why the study?

Venous thromboembolism is a prevalent and morbid inpatient complication, motivating the evaluation of prophylaxis practices and determinants of inappropriate use in general internal medicine wards to guide quality improvement.

Population

295 inpatients in general internal medicine wards of a tertiary-care university hospital

Comparison

Pharmacological VTE prophylaxis utilization assessed by Padua Prediction Score

Design

Cross-sectional study

Authors

AGAlper Tuna GüvenSASabri Engin AltıntopMÖMurat Özdede

Discussion

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Member takes

Overview

Highlights implementation gaps in VTE prevention; leaves open effective quality improvement strategies.

Study Design

Type

Cross-Sectional (n=295)

Multicenter

No

Structured PICO

P
Population
295 inpatients in general internal medicine wards assessed cross-sectionally for the appropriateness of pharmacological VTE prophylaxis using the Padua Prediction Score.
E
Exposure
Pharmacological venous thromboembolism (VTE) prophylaxis
O
Outcome
Appropriateness of VTE prophylaxis use assessed by the Padua Prediction Score

There is a significant underuse of VTE prophylaxis in high-risk general internal medicine inpatients, highlighting a major quality gap in clinical practice.

Cite This Study

Güven et al. (2021) conducted a cross-sectional in Venous thromboembolism risk (n=295). Pharmacological venous thromboembolism prophylaxis was evaluated on Appropriate pharmacological prophylaxis in high-risk patients. Pharmacological VTE prophylaxis was significantly underused, with only 30.3% of high-risk inpatients receiving appropriate prophylaxis.

synapsesocial.com/papers/6a75c4e1dcfefe9676dd940bhttps://doi.org/10.1093/intqhc/mzab104
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Venous Thromboembolism Prevention: A Systematic Review of Methods to Improve Prophylaxis and Decrease Events in the Hospitalized Patient2010 · 45 citations
  2. 2Prophylaxis for Venous Thromboembolism: A Great Global Divide between Expert Guidelines and Clinical Practice?2012 · 22 citations
  3. 3Venous thromboembolism: identifying patients at risk and establishing prophylaxis2015 · 12 citations
  4. 4Implementation of a Mandated Venous Thromboembolism Clinical Order Set Improves Venous Thromboembolism Core Measures2014 · 12 citations
  5. 5Nadroparin in the Prevention of Deep Vein Thrombosis in Acute Decompensated COPD2000 · 304 citations