| Popis: |
Objective: To determine the correct indication of TP in admitted patients in Pulmonology department. To analyze secondary events during the admission, in 30 days and in 90 days; hemorrhages and venous thromboembolism (VTE). Methods: Retrospective study in which patients admitted in Pulmonology Department in December of 2017 were included. The Padua score was applied to calculate the thrombotic risk and IMPROVE for hemorrhagic risk. There were analyzed the necessity of TP and the events onsets during the admission, in 30 and in 90 days. Anticoagulated patients in therapeutic doses (atrial fibrillation, thromboembolism, etc) were excluded. Results: 218 of 322 patients included were analyzed, after excluding the anticoagulated patients. The mean age was 69 years, 57% were men and the mean stay was 5.23 days. The TP indication (Yes/No) was appropriate in 134 (61.6%) patients. There was done in 56 (67.5%) of the ones that was indicated and 78 (57.8%) did not receive it when it was not indicated. The inadequate TP was greater in women (37.7%), in patients under de age of 70 years (47.3%) and in stays over 5 days (45.2%). See Figure 1. There were 5 hemorrhages; none of them associated to a wrong indication of TP. There was no VTE. Conclusions: More than a 1/3 of the patients received an inappropriate TP. Nevertheless, they did not register any event. In spite of existing scores, the clinical practice in TP presents acceptable results in our cohort. |
