Prophylaxis of venous thromboembolism in general surgery in Spain. Analysis of a national survey.

Autor: Arcelus Martínez JI; Departamento de Cirugía y sus Especialidades, Universidad de Granada, Granada, España; Servicio de Cirugía General y Digestiva, Hospital Universitario Virgen de las Nieves, Granada, España. Electronic address: jarcelus@ugr.es., Leiva Jiménez B; Departamento de Cirugía y sus Especialidades, Universidad de Granada, Granada, España., Ruiz Barrera L; Departamento de Cirugía y sus Especialidades, Universidad de Granada, Granada, España., Expósito Ruiz M; Fundación Pública Andaluza para la Investigación Biosanitaria Andalucía Oriental (FIBAO), Granada, España., Muñoz Pérez N; Servicio de Cirugía General y Digestiva, Hospital Universitario Virgen de las Nieves, Granada, España., Villar Del Moral J; Departamento de Cirugía y sus Especialidades, Universidad de Granada, Granada, España; Servicio de Cirugía General y Digestiva, Hospital Universitario Virgen de las Nieves, Granada, España., Díez Vigil JL; Servicio de Cirugía General y Digestiva, Hospital Universitario Virgen de las Nieves, Granada, España., López Espada C; Servicio de Angiología y Cirugía Vascular, Hospital Universitario Virgen de las Nieves, Granada, España.
Jazyk: English; Spanish; Castilian
Zdroj: Cirugia espanola [Cir Esp (Engl Ed)] 2020 Nov; Vol. 98 (9), pp. 516-524. Date of Electronic Publication: 2020 Jun 05.
DOI: 10.1016/j.ciresp.2020.04.020
Abstrakt: Introduction: Venous thromboembolism (VTE) represents a serious postoperative complication that can be prevented by adequate thromboprophylaxis. Surveys provide relevant information about clinician's attitudes and preferences regarding VTE prophylaxis.
Methods: Transversal, descriptive study based on a survey sent to general surgeons members of the Spanish Association of Surgeons (AEC), that included 31 questions regarding postoperative VTE and its prevention, as well as three clinical scenarios.
Results: 530 surgeons, 21.8% of the 2,429 invited by electronic mail to participate, completed the survey. Most of the answering clinicians work on in big teaching hospitals, and 28.5% are residents. VTE represents a serious problem for 28% of participants. Although 81% consider that their knowledge on the prevention of postoperative VTE is adequate, a similar percentage recognizes the need for further education. The vast majority (98.7%) use low molecular weight heparins, which are considered the most effective and safe modality, followed by mechanical methods. The Caprini risk assessment score is used by 81% of surgeons, who usually start pharmacological prophylaxis preoperatively. However, there are remarkable differences in the dosing of heparins, timing of initiation, and duration, especially in non-oncologic surgical patients.
Conclusions: Most Spanish surgeons are interested in the prevention of postoperative VTE. Overall, the level of knowledge on thromboprophylaxis is adequate. However, our results indicate that there is a need for better education on relevant practical aspects of prophylaxis that could be achieved by incorporating recommendations from recent guidelines to local hospital-based protocols.
(Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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