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Determination of the frequency of prophylaxis utilization against deep vein thrombosis among patients hospitalized in surgical wards of Imam Khomeini Teaching Hospital
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M. Azami   , S. Nikpey , .M Borji , E. Ghasemi Pashaklaee |
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| Keywords: Key words: prophylaxis, Deep Vein Thrombosis, Hospitals |
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Type of Study: Research |
Subject:
Hematology
Published: 2016/12/24
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Full-Text: (2154 Views) |
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Sci J Iran Blood Transfus Organ 2017; 13(4): 284-290
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Determination of the frequency of prophylaxis utilization against deep vein thrombosis among patients hospitalized
in surgical wards of Imam Khomeini
Teaching Hospital
Azami M.1, Nikpay S.1, Borji M.1, Ghasemi Pashaklaee E.2
1Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran
2Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran
Abstract
Background and Objectives
The current survey aims at determining the frequency of prophylaxis usage against deep vein thrombosis (DVT) according to ACCP instruction among the patients hospitalized in surgical wards of Imam Khomeini teaching hospital in Ilam.
Materials and Methods
This study is descriptive and retrospective and the sampling was carried out amongst the cases of patients who were hospitalized and underwent operation in the period between March of 2012 to September of 2013 in Imam Khomeini Hospital in Ilam. The type of receiving Prophylaxis was determined by ACCP (The American College of Chest Physicians) Guidelines. After investigating the input and output criteria, patients’ data were extracted according to the dependent variables. Eventually the information gathered from the cases were analyzed by SPSS software version 17.
Results
There were 169 qualified cases out of whom 46.2% (78 participants) were female. Out of 132 patients in need, only 39 persons (29.5%) were offered Prophylaxis. ACCP Guidelines with respect to the appropriate type, dose, and duration of thromboprophylaxis were followed completely only in 30 individuals (22.5%). The maximum rate of thrombo-prophylaxis happened to be in ICU (46.6%) and neurosurgery section (47.5%) and the least utilization of that was in the kidney and urinary tract section (0%).
Conclusions
This study shows that there is a considerable difference in the clinical performance recommended by ACCP in prophylaxis against DVT; in 75% of DVT affected patients, thrombo-prophylaxis was not offered according to ACCP Guidelines. Thus, new strategies must be implemented to operate thrombo-prophylaxis against DVT in Ilam hospitals.
Key words: prophylaxis, Deep Vein Thrombosis, Hospitals
Received: 23 Nov 2015
Accepted: 28 Jun 2016
Correspondence: Ghasemi Pashaklaee E., MD. Pulmonary Specialist. Assiatant Professor of Faculty of Medicine, Ilam University of Medical Sciences. Pazhuhesh Blv.
Postal Code: 6939177143, Ilam, Iran. Tel: (+9884) 33368700; Fax: (+9884) 33368700
E-mail: smaeilghasemi@yahoo.com
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Azami M, Nikpey S, Borji ., Ghasemi Pashaklaee E. Determination of the frequency of prophylaxis utilization against deep vein thrombosis among patients hospitalized in surgical wards of Imam Khomeini Teaching Hospital. Sci J Iran Blood Transfus Organ 2016; 13 (4) :284-290 URL: http://bloodjournal.ir/article-1-997-en.html
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