Are hospitals delivering appropriate VTE prevention? The venous thromboembolism study to assess the rate of thromboprophylaxis (VTE start)
Why the study?
Are hospitalized patients at risk of VTE receiving appropriate thromboprophylaxis according to ACCP7 guidelines?
Population
258,556 hospitalized patients admitted to 16 acute-care hospitals from January 2005 to December 2006. 68,278…
Comparison
Actual thromboprophylaxis received in clinical… vs ACCP7 guideline-recommended thromboprophylaxis
Design
Cohort
Authors
Discussion
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Member takes
Implication
Low appropriate VTE prophylaxis rates signal major care gaps in hospitalized patients; leaves open effective implementation strategies for future study.
Structured PICO
Are hospitalized patients at risk of VTE receiving appropriate thromboprophylaxis according to ACCP7 guidelines?
P
Population
258,556 hospitalized patients (≥18 years, inpatient stay ≥2 days, no apparent contraindications for thromboprophylaxis) admitted to 16 acute-care hospitals from January 2005 to December 2006. 68,278 (26.4%) were determined to be at risk of VTE.
I
Intervention
Actual thromboprophylaxis received in clinical practice
C
Comparator
ACCP7 guideline-recommended thromboprophylaxis (type, dose, and duration)
O
Outcome
Proportion of patients who received the appropriate type, dose, and duration of thromboprophylaxis according to ACCP7 guidelines
Implementation of guideline-recommended VTE prophylaxis in hospitalized patients is alarmingly low, highlighting a major gap in quality of care.
Cite This Study
Amin et al. (2009) studied this question.