Abstract Number: PB2382
Meeting: ISTH 2020 Congress
Background: Hospitalization increases the risk of venous thromboembolism (VTE) by eight times, which can have important clinical consequences such as deep venous thrombosis (DVT) and pulmonary embolism (PE), in addition to promoting an increase in hospital stay and death. VTE is the most common preventable cause of death in hospitalized patients, thromboprophylaxis is the most appropriate mechanism to prevent VTE and its complications, so it is important to identify the risk of VTE in hospitalized patients and establish the recommended prophylaxis.
Aims: To evaluate, through a systematized protocol, the rate of thromboembolic events in hospitalized, clinical and surgical patients.
Methods: Patients admitted consecutively to a private tertiary hospital from January 1, 2018 to November 30, 2019, were evaluated for clinical and surgical hospitalization for at least 48 hours.
Patients admitted with DVT and / or PE, events of arterial thrombosis and those in palliative care were excluded from the analysis.
The events of DVT (distal and proximal), thrombosis of catheter and PE were recorded. These outcomes were confirmed with imaging tests.
Results: In a universe of 81445 units hospitalized in the described period, 114 events of venous thromboembolism. Among these events, 51 (44.74%) were distal DVT, 42 (36.84%) proximal DVT, 17 (14.91%) PE and 4 (3.5%) from catheter.
Conclusions: In the present study, in the period described above, 114 events were identified, corresponding to approximately 0.14% of hospitalized patients, below what is found in the literature.
This demonstrates that, in a highly complex hospital, the increase in adherence to the protocol, identification of the risk of VTE and an appropriate approach contributes to a constant search for the reduction of preventable events, thus reducing hospital stay and morbidity and mortality.
To cite this abstract in AMA style:Amorim de Oliveira M, Haddad A, Ferraz C, Cerqueira A, Godomiczer A, Carvalho C, Cascardo Marins AL, Carpenter LE. Effectiveness of Implementing a Prophylaxis Protocol for Thromboembolic Events in Patients Admitted to a Tertiary Hospital [abstract]. Res Pract Thromb Haemost. 2020; 4 (Suppl 1). https://abstracts.isth.org/abstract/effectiveness-of-implementing-a-prophylaxis-protocol-for-thromboembolic-events-in-patients-admitted-to-a-tertiary-hospital/. Accessed October 1, 2023.
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