A comparison of pregnancy-specific risk scoring systems for venous thromboembolic pharmacoprophylaxis in hospitalized maternity patients
| Autor: | Adeola Awomolo, Christina M. Duzyj, Georgios Doulaveris, Todd Rosen, Theofano Orfanelli, Daniela Gomez |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
health care facilities manpower and services Pregnancy Complications Cardiovascular education Specific risk 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors Humans Medicine reproductive and urinary physiology health care economics and organizations Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics Anticoagulants Obstetrics and Gynecology Venous Thromboembolism medicine.disease female genital diseases and pregnancy complications Pediatrics Perinatology and Child Health Female business Venous thromboembolism |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 35:3579-3586 |
| ISSN: | 1476-4954 1476-7058 |
| Popis: | Venous thromboembolism (VTE) remains a leading cause of maternal mortality. The American College of Obstetricians and Gynecologists (ACOG) and the Royal College of ObstetriciansGynecologists (RCOG) have proposed pregnancy-specific risk scoring guidelines for antepartum (AP) and postpartum (PP) thromboprophylaxis. We compared the impact of scoring thresholds and their potential preventative effect.We conducted a retrospective cohort study of hospitalized maternity patients over a 4-month period. Patients were assigned an AP and PP risk score using each guideline. Hospitalization-associated VTE was accessed over a 6-year period. Comparison was by Fischer's exact and Chi Square tests.638 women were included. Of AP patients, 20% met pharmacoprophylaxis criteria for baseline characteristics and 100% for length of stay using RCOG, and 12% met phrarmacoprophylaxis criteria using ACOG (In our population, using ACOG prophylaxis guidelines at an increased threshold would have potentially prevented all hospitalization related VTE without excessive anti-coagulation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|