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January 1, 2014Thrombosis JournalOpen Access

Risk of venous thromboembolic disease and adequacy of prophylaxis in hospitalized patients in Argentina: a multicentric cross-sectional study

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Key result

Adequate antithrombotic prophylaxis was provided to 66.9% of hospitalized patients overall, with significantly higher adequacy in surgical patients (71%) compared to clinical patients (63.6%).

Population

1,315 hospitalized patients (729 medical, 586 surgical) across 28 institutions in 5 provinces in Argentina

Design

Cross-sectional

Authors

FVFernando Javier VázquezHospital Italiano de Buenos AiresRWRicardo WatmanSwissmedicATAldo TabaresHospital Privado

Discussion

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Overview

Suboptimal adequacy in clinical patients signals care gaps; leaves open whether targeted interventions improve rates or outcomes.

Study Design

Type

Cross-Sectional (n=1,315)

Multicenter

Yes

Structured PICO

P
Population
1,315 hospitalized adult patients (aged 21 years or older) across 28 institutions in Argentina, evaluated cross-sectionally for the adequacy of venous thromboembolism prophylaxis.
E
Exposure
Antithrombotic prophylaxis (ATP)
O
Outcome
Adequacy of antithrombotic prophylaxis according to guidelines

Main Result

Absolute Event Rate: 71% vs 63.6%

p-value: p=<0.001

Adequate antithrombotic prophylaxis was provided to 66.9% of hospitalized patients in Argentina, with underuse being the primary cause of inadequacy, highlighting a need for quality improvement initiatives.

Limitations

  • Cross-sectional design conducted at different times in various institutions, meaning some may have had more time to become familiar with guidelines, potentially influencing prescription appropriateness.

Cite This Study

Vázquez et al. (2014) conducted a cross-sectional in Venous thromboembolic disease risk in hospitalized patients (n=1,315). Hospitalization for surgical reasons vs. Hospitalization for clinical (medical) reasons was evaluated on Adequate antithrombotic prophylaxis (p=<0.001). Adequate antithrombotic prophylaxis was provided to 66.9% of hospitalized patients overall, with significantly higher adequacy in surgical patients (71%) compared to clinical patients (63.6%).

synapsesocial.com/papers/6aa3dd841b9b7207ccb720aahttps://doi.org/10.1186/1477-9560-12-15
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