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Utilisation of deep venous thrombosis prophylaxis in medical / surgical intensive care units

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Author(s): Todi S | Sinha S | Chakraborty A | Sarkar A | Gupta S | Das T | Santhalia R

Journal: Indian Journal of Critical Care Medicine
ISSN 0972-5229

Volume: 7;
Issue: 2;
Start page: 103;
Date: 2003;
Original page

Keywords: Intensive Care Unit | Prophylaxis | Venous Thromboembolism.

ABSTRACT
Background: Pulmonary embolism is the most common preventable cause of death in hospitalised patient. It can readily be prevented by adequate prophylaxis. Inspite of multiple guidelines on risk factor assessment for venous thromboembolism (VTE), utilization of deep venous thrombosis (DVT) prophylaxis remains less than satisfactory. Critically ill patient are at increased risk of developing VTE which leads to significant morbidity and mortality in this population. In western intensive care units utilization of DVT prophylaxis varies from 40-90%. There has not been a systematic study to detect the incidence of DVT prophylaxis in India. Objective: To assess the utilization of Deep Venous Thrombosis (DVT) prophylaxis in Multidisciplinary critical care unit. Design: Prospective Cohort Multi-centre Study. Setting: Multidisciplinary critical care units in the Metropolitan city of Kolkata (India). Method: Prospective chart survey of one hundred consecutive itu admissions. Results: Of 100 consecutive admissions who were eligible for DVT prophylaxis, as per predefined criterias, DVT prophylaxis was administered to 44 of 100 study patients (44%). Fifty-six eligible study patients (56%) did not receive DVT prophylaxis. The study patients had an average of 2.9 risk factors for DVT. Thirty patients received subcutaneous heparin, twenty six of which were low molecular weight heparin (LMWH), thirteen patients received anti embolism stockings, one patient received both LMWH and antiembolism stockings. Conclusion: Forty four percent (44%) of the medical /surgical critically ill patient included in our study received DVT prophylaxis.

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