Key result
Among 132 surgical patients at risk for deep venous thrombosis, only 22.7% received complete thromboprophylaxis according to ACCP guidelines.
Cross-Sectional (n=169)
No
There is a significant gap between clinical practice and ACCP guideline recommendations for DVT prophylaxis in surgical patients in Iran, with over 75% of at-risk patients not receiving appropriate prophylaxis.
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Suboptimal ACCP-guided DVT prophylaxis in surgical wards signals need for local protocols; leaves open questions on barriers and clinical impact.
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.
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Azami et al. (2018) conducted a cross-sectional in Hospitalized patients in surgical wards at risk for deep venous thrombosis (n=169). Thromboprophylaxis based on ACCP guidelines was evaluated on Implementation of complete thromboprophylaxis based on ACCP guidelines in patients with an indication. Among 132 surgical patients at risk for deep venous thrombosis, only 22.7% received complete thromboprophylaxis according to ACCP guidelines.
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