Swiss results from a global observational study of venous thromboembolism risk and prophylaxis use in the acute care hospital setting: analysis from the ENDORSE study
| Autor: | Jurg Peter, Brigitte Brunner, Pierre Chopard, Hans-Jürg Beer, Janine Dorfller-Melly, Henri Bounameaux, David Spirk |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Hospital setting Postoperative Complications/prevention & control Venous Thromboembolism/*epidemiology/*prevention & control Vte prophylaxis Risk Assessment Outcome Assessment (Health Care) Patient Care Management/statistics & numerical data Switzerland/epidemiology Postoperative Complications Acute care Outcome Assessment Health Care medicine Prevalence Humans Acute hospital Intermittent Pneumatic Compression Devices Aged ddc:616 Inpatients Medical Audit Hospitals/*statistics & numerical data business.industry Major trauma Anticoagulants General Medicine Venous Thromboembolism Vascular surgery Middle Aged medicine.disease Hospitals Patient Care Management Cross-Sectional Studies Anticoagulants/therapeutic use Surgical Procedures Operative Emergency medicine Practice Guidelines as Topic Observational study Female Guideline Adherence business Venous thromboembolism Switzerland |
| Zdroj: | Schweizerische medizinische Wochenschrift, Vol. 139, No 43-44 (2009) pp. 630-635 |
| ISSN: | 1424-3997 0036-7672 |
| Popis: | BACKGROUND: The aim of the present analysis from the epidemiologic international day for the evaluation of patients at risk for venous thromboembolism (VTE) in the acute hospital care setting (ENDORSE) study was to evaluate the prevalence of VTE risk in acute care hospitals and the proportion of at-risk medical and surgical patients who receive recommended prophylaxis in Switzerland. METHODS: All patients (age ≥ 40 years) admitted to a medical ward or those (age ≥ 18 years) admitted to a surgical ward in ten randomly selected Swiss hospitals were assessed for risk of VTE. The 2004 American College of Chest Physicians (ACCP) evidence-based consensus guidelines were used to assess VTE risk and to determine whether patients were receiving recommended thromboprophylaxis. RESULTS: 2000 patients were eligible; of these 1153 (58%) were in surgical wards, and 847 (42%) in medical wards. According to the ACCP criteria, the proportion of surgical patients at VTE risk was similar in Switzerland (68%, between hospital range 48-86%) in comparison to the global ENDORSE study (64%) (p = 0.296). The rate of at-risk medical patients was lower in Switzerland (21%, range 3-44%) than in the global study (42%) (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|