تقييم استخدام مضادات التخثر الوقائي لمنع الجلطات الدموية الوريدية في المرضى البالغين الراقدين في مستشفى بغداد التعليمي == Assessment of Prophylactic anticoagulant use for prevention of venous thromboembolism in adult inpatients at Baghdad teaching hospital
Author name:
عمار محمد عبد الرضا
Supervisor name:
عبد الله جنجر الفرطوسي
General topic:
Medicine
Specific topic:
Diseases - Thoracic
Degree:
Higher Diploma
University:
University of Baghdad - Faculty Of Medicine
Language:
English
University location:
Baghdad
First pages:
19T1615 - p.pdf
Abstract:
Deep venous thrombosis is one of the most problems that faces hospitalized patients and if does not treated or prevented well may lead to pulmonary embolism and it ’s complications and as a consequence increase cost effectiveness, the duration of admission and mortality.Aim of study : Evaluate the use of prophylactic anticoagulants for prevention of DVT and PE in various medical, surgical, and gynecological wards.Patients and methods : Cross sectional study of 374 patients who are indicated for VTE prophylaxis admitted to medical, surgical and gynecological wards in Baghdad teaching hospital and were assessed wither they took VTE prophylaxis or not , had any contraindications and if they developed DVT and PE during admission.Results : 374 patients involved in the study, 152 males (41%) and 222 females (59%).195 patients (52%) received VTE prophylaxis and the rest 179 patients (48%) did not received it and from the latter only 25 patients (14%) had contraindications that prevent the use of VTE prophylactic.Only 4 patients developed DVT and 1 patient developed PE in those who received VTE prophylaxis compared to 13 patients developed DVT and 7 patients developed PE in those who did not received VTE prophylaxis.There was inverse relationship between receiving VTE prophylaxis and development of DVT and PE.Conclusion : The study reveals that there was an underuse of prophylactic anticoagulants for patients who are indicated for VTE prophylaxis in medical, surgical and gynecological wards
