Analysis of Readmissions Due to VTE—Using Hospital Data to Improve VTE Prophylaxis Compliance: A Quality Improvement Project

Autor: Muzamil Hamid Hussain MBBS, Shihyeon Kim MBBS, Adnan Ali Khan MBBS, Ainan Arshad MBBS, Haroon Khan MBBS
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Clinical and Applied Thrombosis/Hemostasis, Vol 29 (2023)
Druh dokumentu: article
ISSN: 1938-2723
10760296
DOI: 10.1177/10760296231181916
Popis: Venous thromboembolism (VTE) is a preventable cause of mortality and morbidity. We performed a retrospective analysis of patient records to identify those readmitted with a diagnosis of VTE within 6 months of the primary admission. The records were evaluated to see whether thromboprophylaxis had been provided to patients at high risk for VTE. A total of 360 hospital encounters between August 1, 2018, and August 31, 2019, with VTE, 57 (16%) encounters were readmissions with a primary diagnosis of deep vein thrombosis within 180 days of their primary stay. A high proportion (44%) of these readmissions were within the first 30 days. 3% (n = 9) of patients developed pulmonary embolism; 35 (61%) did not receive thromboprophylaxis on their primary stay. Thromboprophylaxis is often not utilized appropriately in healthcare settings. Our study showed substantial incidence of hospital readmissions due to VTE which is consistent with prior studies conducted globally. A more stringent adherence to the protocol along with risk stratification may lower rates of VTE admission and reduce associated morbidity and mortality.
Databáze: Directory of Open Access Journals