Appropriateness of Pharmacologic Prophylaxis against Deep Vein Thrombosis in Medical Wards of an Ethiopian Referral Hospital
Joint Authors
Adugna, Boressa
Biset Ayalew, Mohammed
Zeleke, Meseret Tilahun
Source
International Journal of Vascular Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-11
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Most of hospitalized patents are at risk of developing deep vein thrombosis (DVT).
The use of pharmacological prophylaxis significantly reduces the incidence of thromboembolic events in high risk patients.
The aim of this study was to assess appropriateness of DVT prophylaxis in hospitalized medical patients in an Ethiopian referral hospital.
Methods.
Cross-sectional study design was employed.
Patients with a diagnosis of DVT, taking anticoagulant therapy, and those who refused to participate were excluded from the study.
Two hundred and six patients were included in the study using simple random sampling method.
Modified Padua Risk Assessment Model was used to determine the risk of thromboembolism.
SPSS (version 21) was used for analysis.
Result.
The total risk score for the study subjects ranged from 0 to 11 with a mean score of 3.41 ± 2.55.
Nearly half (47.6%) of study participants had high risk to develop thromboembolism.
Thrombocytopenia (platelets < 50 billion/L) or coagulopathy, active hemorrhage, and end stage liver disease (INR > 1.5) were the frequently observed absolute contraindications that potentially prevent patients from receiving thromboprophylaxis.
Thromboprophylaxis use in nearly one-third (31.6%) of patients admitted in the medical ward of UoGRH was irrational.
Patients who had high risk for thromboembolism are more likely to be inappropriately managed for their risk of thromboembolism and patients with thrombocytopenia or coagulopathy were more likely to be managed appropriately.
Conclusion.
There is underutilization of pharmacologic thromboprophylaxis in medical ward patients.
Physicians working there should be aware of risk factors for DVT and indications for pharmacologic thromboprophylaxis and should adhere to guideline recommendations.
American Psychological Association (APA)
Biset Ayalew, Mohammed& Adugna, Boressa& Zeleke, Meseret Tilahun. 2018. Appropriateness of Pharmacologic Prophylaxis against Deep Vein Thrombosis in Medical Wards of an Ethiopian Referral Hospital. International Journal of Vascular Medicine،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1175796
Modern Language Association (MLA)
Biset Ayalew, Mohammed…[et al.]. Appropriateness of Pharmacologic Prophylaxis against Deep Vein Thrombosis in Medical Wards of an Ethiopian Referral Hospital. International Journal of Vascular Medicine No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1175796
American Medical Association (AMA)
Biset Ayalew, Mohammed& Adugna, Boressa& Zeleke, Meseret Tilahun. Appropriateness of Pharmacologic Prophylaxis against Deep Vein Thrombosis in Medical Wards of an Ethiopian Referral Hospital. International Journal of Vascular Medicine. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1175796
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1175796