Adherence to Thromboprophylaxis Guidelines in Acutely ill and Immobilized patients: A Clinical Audit
Background: Thromboprophylaxis is a proven and safe strategy for hospitalized patients. However, many hospitals still don’t use these preventive measures enough, despite their benefits. Objective: To evaluate the risk and adoption of thromboprophylaxis guidelines in acutely ill and immobilized pa...
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| Format: | Article |
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Shaikh Zayed Medical Complex, Lahore
2025-06-01
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| Series: | Proceedings |
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| Online Access: | https://proceedings-szmc.org.pk/index.php/szmc/article/view/582 |
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| author | Afsheen Sayyar Hafiza Tuseef Sayyar Tahira Assad Shaista Ambreen Marium Shoukat Quratulain Mehdi |
| author_facet | Afsheen Sayyar Hafiza Tuseef Sayyar Tahira Assad Shaista Ambreen Marium Shoukat Quratulain Mehdi |
| author_sort | Afsheen Sayyar |
| collection | DOAJ |
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Background: Thromboprophylaxis is a proven and safe strategy for hospitalized patients. However, many hospitals still don’t use these preventive measures enough, despite their benefits.
Objective: To evaluate the risk and adoption of thromboprophylaxis guidelines in acutely ill and immobilized patients in a tertiary care hospital.
Method: This prospective observational study was conducted in the medical wards of Hayatabad Medical Complex (HMC), Peshawar from April 2021 to September 2022. A total of 4260 patients were hospitalized in medical wards during the study period. The simple random sampling technique allowed the inclusion of 600 patients with equal representation from all the three medical units of HMC.
Results: Among the admitted patients, 336 (56%) were females while 264 (44%) were males. Patients stratified as High Risk were 435 (72%) while the remaining 165 (28%) were in Low-risk group. Total 345 (57.5%) patients received Venous thromboembolism (VTE) prophylaxis with 187 (31.2%) in the High-Risk group while 158 (26.4%) in the low-risk group. Amongst these74 (12.3%) patients received both the modalities Thromboembolic Deterrent (TED) Stockings and anticoagulation therapy while remaining 173 (28.6%) received TED Stockings alone, and 101 (16.7%) received anticoagulation therapy alone. Implementation of VTE prophylaxis is estimated to be 31.2% in high-risk group and 26.4% in low-risk group patients.
Conclusion: Present investigation revealed substantial underutilization of venous thromboembolisms prophylaxis to seriously ill medical ward patients and emphasize the urgent requirement for amended implementation of current guidelines in hospitals, so as to ensure optimal venous thromboprophylaxis practices and prevent avoidable cases of venous thromboembolism.
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| format | Article |
| id | doaj-art-d9a1bda478b644ee8ace17f1e74922c7 |
| institution | DOAJ |
| issn | 1815-4905 2518-203X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Shaikh Zayed Medical Complex, Lahore |
| record_format | Article |
| series | Proceedings |
| spelling | doaj-art-d9a1bda478b644ee8ace17f1e74922c72025-08-20T03:17:09ZengShaikh Zayed Medical Complex, LahoreProceedings1815-49052518-203X2025-06-0139210.47489/szmc.v39i2.582Adherence to Thromboprophylaxis Guidelines in Acutely ill and Immobilized patients: A Clinical AuditAfsheen Sayyar0Hafiza Tuseef Sayyar1Tahira Assad2Shaista Ambreen3Marium Shoukat4Quratulain Mehdi5Hayatabad Medical Complex, PeshawarBahria University Health SciencesKarachi Institute of Medical Sciences/ National University of Medical SciencesCombined Military Hospital, SialkotRahbar Medical and Dental College, LahoreKarachi Institute of Medical Sciences/ National University of Medical Sciences Background: Thromboprophylaxis is a proven and safe strategy for hospitalized patients. However, many hospitals still don’t use these preventive measures enough, despite their benefits. Objective: To evaluate the risk and adoption of thromboprophylaxis guidelines in acutely ill and immobilized patients in a tertiary care hospital. Method: This prospective observational study was conducted in the medical wards of Hayatabad Medical Complex (HMC), Peshawar from April 2021 to September 2022. A total of 4260 patients were hospitalized in medical wards during the study period. The simple random sampling technique allowed the inclusion of 600 patients with equal representation from all the three medical units of HMC. Results: Among the admitted patients, 336 (56%) were females while 264 (44%) were males. Patients stratified as High Risk were 435 (72%) while the remaining 165 (28%) were in Low-risk group. Total 345 (57.5%) patients received Venous thromboembolism (VTE) prophylaxis with 187 (31.2%) in the High-Risk group while 158 (26.4%) in the low-risk group. Amongst these74 (12.3%) patients received both the modalities Thromboembolic Deterrent (TED) Stockings and anticoagulation therapy while remaining 173 (28.6%) received TED Stockings alone, and 101 (16.7%) received anticoagulation therapy alone. Implementation of VTE prophylaxis is estimated to be 31.2% in high-risk group and 26.4% in low-risk group patients. Conclusion: Present investigation revealed substantial underutilization of venous thromboembolisms prophylaxis to seriously ill medical ward patients and emphasize the urgent requirement for amended implementation of current guidelines in hospitals, so as to ensure optimal venous thromboprophylaxis practices and prevent avoidable cases of venous thromboembolism. https://proceedings-szmc.org.pk/index.php/szmc/article/view/582Venous ThromboembolismThromboprophylaxisMedical WardEvidence based guidelines |
| spellingShingle | Afsheen Sayyar Hafiza Tuseef Sayyar Tahira Assad Shaista Ambreen Marium Shoukat Quratulain Mehdi Adherence to Thromboprophylaxis Guidelines in Acutely ill and Immobilized patients: A Clinical Audit Proceedings Venous Thromboembolism Thromboprophylaxis Medical Ward Evidence based guidelines |
| title | Adherence to Thromboprophylaxis Guidelines in Acutely ill and Immobilized patients: A Clinical Audit |
| title_full | Adherence to Thromboprophylaxis Guidelines in Acutely ill and Immobilized patients: A Clinical Audit |
| title_fullStr | Adherence to Thromboprophylaxis Guidelines in Acutely ill and Immobilized patients: A Clinical Audit |
| title_full_unstemmed | Adherence to Thromboprophylaxis Guidelines in Acutely ill and Immobilized patients: A Clinical Audit |
| title_short | Adherence to Thromboprophylaxis Guidelines in Acutely ill and Immobilized patients: A Clinical Audit |
| title_sort | adherence to thromboprophylaxis guidelines in acutely ill and immobilized patients a clinical audit |
| topic | Venous Thromboembolism Thromboprophylaxis Medical Ward Evidence based guidelines |
| url | https://proceedings-szmc.org.pk/index.php/szmc/article/view/582 |
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