Postoperative Venous Thromboembolism Prophylaxis by General Surgeons in a Developing Country: A Survey.

Autor: Venkataram, Aniketh, Santhosh, Shivashankar, Dinakar, Deevish, Siddappa, Shivananda, Babu, Rajashekara, Shivaswamy, Sadashivaiah
Zdroj: Thrombosis; 2013, p1-5, 5p
Abstrakt: Venous thromboembolism (VTE) is the most common preventable cause of hospital death. Several audits in the west have demonstrated that appropriate thromboprophylaxis is not being offered to a large number of surgical patients. Similar audits are lacking in the Indian population, and a perception exists among Indian surgeons that Indian patients are not susceptible to VTE. Hence we under took a survey to analyze the existingknowledge and practice ofVTE prophylaxis amongst general surgeons in India. A questionnaire-based survey was conducted on 100 active general surgeons. We found that 97% of surgeons had encountered VTE in their practice, and 49% had encountered mortality from pulmonary embolism. 64% of surgeons do not routinely score patients preoperatively for their VTE risk, and only 33% reported the presence of an institute-based protocol for the same.There was a wide disparity in the prophylaxis methods used for each risk group, particularly in the moderate-risk group. These findings suggest the need for adoption of institute-based protocols for prophylaxis and the evolution of Indian guidelines for VTE prophylaxis. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index