Emergency department awareness of heparin-induced thrombocytopenia: how frequently is risk assessment documented in patients with thrombosis?
| Autor: | Robert Levine, Marcie J. Hursting, Georgene W. Hergenroeder, Robert T. Funk |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Risk Assessment Young Adult Heparin-induced thrombocytopenia medicine Humans Platelet In patient Intensive care medicine Aged Retrospective Studies Aged 80 and over Medical Audit Risk Management business.industry Heparin Health Policy Anticoagulants Thrombosis Emergency department Middle Aged medicine.disease Thrombocytopenia Emergency medicine Female business Risk assessment Emergency Service Hospital medicine.drug |
| Zdroj: | American journal of medical quality : the official journal of the American College of Medical Quality. 25(5) |
| ISSN: | 1555-824X |
| Popis: | Evidence-based guidelines recommend that heparin-induced thrombocytopenia (HIT) should be suspected whenever a patient develops thrombosis or thrombocytopenia 5 to 14 days after heparin initiation. The authors determined how frequently emergency department (ED) physicians document HIT risk assessment in patients presenting with thrombosis. Relevant data were extracted from the ED charts of 134 patients with venous or arterial thrombosis. Documentation (ie, notation of positive or negative findings) existed for recent heparin exposure in 7 (5.2%) of 134 charts, recent hospitalization in 33 (24.6%), history of thrombocytopenia in 0 (0%), and history of thrombosis in 62 (45.5%). Of 35 patients administered heparin in the ED, the preheparin platelet count was available for 19 (54.3%) and old records for 5 (14.3%). Thus, HIT risk assessment frequently remains undocumented for ED patients with thrombosis, including those administered heparin. Approaches to increase HIT awareness and facilitate HIT risk assessment and documentation in the ED may be needed. |
| Databáze: | OpenAIRE |
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