There is a severe underutilization of appropriate VTE prophylaxis in high-risk women undergoing elective gynaecological surgery, highlighting a significant gap in guideline implementation.
Suboptimal VTE prophylaxis in high-risk gynaecological surgery warrants local audit; leaves open whether interventions improve outcomes.
OBJECTIVES. This study aims to describe the venous thromboembolism (VTE) risk profile of women undergoing elective gynaecological in a tertiary hospital and to audit the VTE prophylaxis prescribed. . One hundred and nine women who underwent elective gynaecological surgery at Kalafong Provincial Tertiary Hospital were in terms of their risk of developing perioperative VTE, using the modified Caprini VTE risk assessment model. An audit of the prophylaxis they received was conducted postoperatively. . Of the 109 women, 45% were classified as at very high risk for VTE, 38% as at high risk, 14% as at moderate risk and 3% as at risk. The audit revealed that only 5% of patients received the correct VTE prophylaxis, 55% received inadequate prophylaxis and 40% no prophylaxis. . The majority of patients undergoing elective gynaecological surgery are either at high risk or very high risk for developing VTE-related morbidity. This group of patients require formal preoperative VTE risk assessment using a recognised scoring . VTE prophylaxis should be administered according to recognised guidelines to avoid inadequate prophylaxis.
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Snyman et al. (2014) studied this question.
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