A multidisciplinary quality improvement program increases the inferior vena cava filter retrieval rate.

Autor: Winters JP; 1 Thrombosis and Hemostasis Program, Division of Hematology - Oncology, Department of Medicine, and Cardiovascular Research Institute of Vermont, Larner College of Medicine, University of Vermont, Burlington, VT, USA., Morris CS; 2 Department of Radiology, Larner College of Medicine, University of Vermont, Burlington, VT, USA., Holmes CE; 1 Thrombosis and Hemostasis Program, Division of Hematology - Oncology, Department of Medicine, and Cardiovascular Research Institute of Vermont, Larner College of Medicine, University of Vermont, Burlington, VT, USA., Lewis P; 1 Thrombosis and Hemostasis Program, Division of Hematology - Oncology, Department of Medicine, and Cardiovascular Research Institute of Vermont, Larner College of Medicine, University of Vermont, Burlington, VT, USA., Bhave AD; 2 Department of Radiology, Larner College of Medicine, University of Vermont, Burlington, VT, USA., Najarian KE; 2 Department of Radiology, Larner College of Medicine, University of Vermont, Burlington, VT, USA., Shields JT; 2 Department of Radiology, Larner College of Medicine, University of Vermont, Burlington, VT, USA., Charash W; 3 Department of Surgery, Larner College of Medicine, University of Vermont, Burlington, VT, USA., Cushman M; 1 Thrombosis and Hemostasis Program, Division of Hematology - Oncology, Department of Medicine, and Cardiovascular Research Institute of Vermont, Larner College of Medicine, University of Vermont, Burlington, VT, USA.
Jazyk: angličtina
Zdroj: Vascular medicine (London, England) [Vasc Med] 2017 Feb; Vol. 22 (1), pp. 51-56. Date of Electronic Publication: 2016 Nov 03.
DOI: 10.1177/1358863X16676658
Abstrakt: Published reports indicate low retrieval rates for retrievable inferior vena cava (IVC) filters. We performed a historic-controlled study of a 5-year intervention (March 2007 to February 2012) to improve IVC filter retrieval rates at a university medical center serving a rural area. All adults with a retrievable filter placed were included, except those with a life expectancy <6 months. The intervention included initial verbal counseling and printed educational materials, correspondence after discharge, and a hematology consultation. The control group included patients with retrievable filters placed in the 15 months preceding study initiation. In the control group, 116 filters were placed and 27 (23%) were removed, compared to 378 filters placed and 169 (45%) removed during the intervention. Adjusting for patient characteristics, the odds ratio of retrieval during the intervention was 3.03 (95% CI 1.85-4.27) compared to the control period. An intervention including patient education and hematology follow-up appeared to significantly improve IVC filter retrieval rates.
Databáze: MEDLINE
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