Treffer: Venous thromboembolism risk and prophylaxis in hospitalised medically ill patients
Title:
Venous thromboembolism risk and prophylaxis in hospitalised medically ill patients
Authors:
Kaynar, Leylagül, Yildirim, Cuma, PANTOJA, Joao, Rocha, Ana, SCHRAMM, Edgar, TIMI, Jorge, STAIKOV, Ivan, BENOV, Haralambi, MIRAZCHIJSKI, Boyko, STATELOV, Evgenii, STOYKOVA, Antoaneta, TODOROV, Radostin, DENNIS, Rodolfo, DURA, Freddy Rafael Mendez, RESTREPO, Hector, ROA, Jairo H., VILLADIEGO, Juan, MALY, Jaroslav, BRABEC, Tomas, GUMULEC, Jaromir, JOCHYMEK, Roman, KELLNEROVA, Ivana, SKARKOVA, Jindra, SLEZAK, Premysl, VIT, Patrik, GOBRAN, Hadi, EL HADDAD, Alaa, RIZK-ALLAH, Mounir, BERGMANN, Jean Francois, ABINADER, Marid, KHOUDIR, Falah Abou, BOYER, Jean-Francois, BRUN, Natacha, CANET, Bernard, COLLARD, Catherine, CORDIER, Christophe, DURROUX, Claire, EMMERICH, Joseph, FRIOCOURT, Patrick, ANDERSON, Frederick A., CHERFI, Lyes, AMMOUR, Dehbia, BOURENANE, Razika, GRAINAT, Nadia, MAAROUF, Abderahmane, SISSAOUI, Abdelhak, GALLUS, Alexander, AYYAR, Venkatraman, CRIMMINS, Denis, GAN, Eng, MCRAE, Simon, SELDON, Michael, SINGH, Bhuwan, MOULA, Kaniz, NAWAZ, Taimor, NAZIMUDDIN, Khwaja, RAHMAN, Saiyeedur, SARKER, Shyamal, BRANDAO, Carlos, COSTA, Jose, MACEDO, Alex, MARINO, Roberto, MENEZES, Paulo, Bergmann, Jean-Francois, Cohen, Alexander T., Tapson, Victor F., Goldhaber, Samuel Z., Kakkar, Ajay K., Deslandes, Bruno, MOUMEN, Abdelrhani, PHILIPPE, Pierre, PROTIN, Yves, QUERE, Isabelle, RIZCALLAH, Marie-Jeanne, BENSCH, Kristina, BENSMANN, Klaus, Dropmann, Axl, Gerold, Dieter, Gussmann, Andreas, Kube, Lutz, Kuster, Stefan, Leupolz, Werner, Neuhaus, Thomas, Nobel, Wolfgang, Pfiel, Sascha, Pleger, Eberhard, Trautmann, Harald, Voigt, Ingo, Liapis, Christos, Antoniadis, Pavlos, Arvanitis, Dimitrios, Bakatsglos, Spyridon, Christakis, Christos, Gerassimidis, Thomas, Kostakis, Alkiviadis, Losonczy, Hajna, Hajna, Bela, Gyani, Eva, Jojart, Istvan, Kecskes, Gabor, Lakatos, Jozsef, Ledniczki, Istvan, Mayer, Klara, Nyuzo, Balint, Zeher, Margit, Agnihotri, Vinod, Balraj, A., Chakraborty, Amiya, Desai, Sanjay, Elangovan, Antony, Goswami, Partha, Rupert, Emmanuel, Toraskar, Kedar, Venkatesh, Kakollu, Gaine, Sean, Costello, Richard, Liston, Richard, Zubieta, Ricardo Martinez, Fematt, Flor Mario Avila, Esponda, Juan Alejandro Baeza, Benitez Maldonado, Daniel R., Serrano, Maricela Escarela, Montalvo, Carlos Lavalle, Marquez, Santa Lopez, Sanchez, Alejandro Quesada, Diaz, Santiago Ramirez, Serrano, Alejandro Tovar, de la Vega, Maria Isabel Villa, Faridi, Salman, Javaid, Mansur, Khan, Farrukh, Malik, Asif Zafar, Sadiq, Muzafaruddin, Musial, Jacek, Biedziuk, Bartlomiej, Gellert, Ryszard, Kosiniau-Kamysz, Andrzey, Kuta, Marcin, Prajs, Zozislav, Sell, Marek, Tadeusz, Kalbarczyk, Witkiewicz, Wojciech, Wysota, Janusz, Franca, Ana, Abreu, Rui, Cartucho, Daniel, Lohmann, Corinna, Moreira, Pedro, Paulino, Aida, Reis, Abilio, Rojao de Morais, Maria Luisa, Tribolet de Abreu, Tiago, Tulbure, Dan, Andrei, Muresan, Christian, Pricop, Ciurea, Mircea, Enachescu, Mihaela, Gostian, Ovidiu, Grintescu, Ioana Marina, Mimor, Ovidiu, Natalia, Hagau, Puiac, Claudiu, Valerica, Stan, Sulimov, Vitalyi Andreevich, Belentsov, Sergey, Eliseeva, Ekaterina, Fridman, Irina, Kazantchian, Perch, Mashtacov, Boris, Redkin, Alexander, Rodoman, Grigory, Shershnev, Vladislav, Zhidkov, Konstantin, Gaspar, Ludovit, Benova, Katarina, Duris, Tibor, Fecik, Juraj, Hajas, Jan, Herman, Oto, Lehotsky, Jan, Macek, Vladimir, Pradova, Viera, Carrascosa, Miguel, Luque, Rafael Cuenca, del Val Gil, Jose, Diaz de Souza, Pedro, Enfedaque, Muriel Alvaro, Gonzalo, Francesc Epelde, Sanchez, Florentino Garcia, Garcia, Guil, Lopez, Luciano, Rodriguez, Jose Antonio Nieto, Mateo Paredes, Ramon, Ramos Rodriguez, Jose Luis, Cantero, Alberto Ruiz, Lorenzo, Pedro Ruiz, Legarre, Angel Luis Samperiz, Clavo Sanchez, Antonio, Bernad, Reina Valle, Vela Moreno, Jeronimo Ramon, Doerffler, Janine, Beer, Jurg, Brunner, Brigitte, Chopard, Pierre, Fischer, Joseph, Ludwig, Christian, Rime, Francis, Salomon, Franco, Ulrich, Munch, Angchaisuksiri, Pantep, Chetanachan, Mariam, Chuamuangphan, Nonlawan, Insiripong, Somchai, Nawarawong, Weerasak, Ben Salah, Afif, Houman, Mohamed Habib, Mohamed, Mnif, Samir, Kammoun, Smiti-Khanfir, Monia, Zouheir, Jerbi, Ongen, Gul, Altintas, Faik, Cirak, Ali Kadri, Demirtas, Nazmi, Erden, Faruk, Guven, Hulya, Halezeroglu, Semih, Karaoglan, Halim, Tereci, Hikmet, Wilmott, Rosalind, Cohen, Alexander, Calvey, Thomas, Cohen, Angela, Gallegos, Nick, Gaminara, Elizabeth, James, Anthony, Jeffreys, Mike, Jowett, Nigel, Keaney, Niall, Kesteven, Patrick, Khan, Zafar, Mallick, Abhiram, Marval, Paul, Parapia, L., Picozzi, Natalie, Praveen, Bandipalyam, Satchi, Gnanam, Valerio, David, Tapson, Victor, Anderson, Fred, Baker, Gennfer, Beaver, Richard, Becker, William, Beckett, Cynthia, Borchardt, Carla, Briggs, Michael, Bruckman, Joseph, Buck, Lisa, Chausow, Alan, Christopulos, Danielle, Cica, Paula, Cody, Jean, Condit, Bruce, Cronin, Sherill, Huang, Wei, BENTAKOUK, Cherif, SIDDIQUI, F. M., OIGMAN, Wille, PAIVA, Marcelo, TANDEITNIK, Liane, BORISOV, Stefan Dimitrov, LALOV, Anton, POSTADZIYAN, Arman, Cysyk, Barbara, Driggers, Steven, Ellis, Paula, Elvenia, Jaeda, Feinbloom, David, Feldman, Mark, Fischer, Marian, Froehlich, James, Frost, Christopher, Galster, Ruth, Geldmeier, Richard, George, Joyce, Glielmi, Vincent, Goodwin, James, Gottlieb, Anita, Gray, Bruce, Harrington, Darrell, Henry, Edwina, Hill, David, Hutchinson, Melissa, Johnson, Juanita, Johnson, Roberta, Kapre, Sheela, Kedzie, Robyn, Kowaloff, Harvey, Krodel, John, Lehman, James, Marshall, Ingeborg, McDaniels, Mary, Middleton, Robert, Mitchell, Phillip, Nelson, Carrie, Netherland, Susan, Ogden, Maureen, Packard, Keith, Poole, Lorie, Radford, Martha, Rathbun, Suman, Roberts, Cathy, Robinson, Margaret, Rollins, David, Rubinate, Donna, Schmidt, Cheryl, Scott, Julia, Slone, Betty, Spyropoulos, Alex, Subramanian, Seshan, Sullivan, Jacqueline, Timmerman, Carman, Vizzard, Carolyn, Wheeler, Connie, White, Diane, White, Nancy, Wright, Joyce, Young, Dereck, SOKOLOV, Krassimir, STEFANOV, Chavdar, TADZHER, Sheri, POSADA, Jose Alfredo, KVASNICKA, Jan, PENKA, Miroslav, VOJTISEK, Petr, EL RAHMAN, Alaa Mahmaud Aba, GORGY, George Sobhy, SHOLKAMY, Sherif, GENAY, Patrick, IBOUANGA, Florent, PLANCHON, Pierre, ZOTZ, Rainer, Kortmann, Bernd, Wolf, Stefan, Domjan, Gyula, Pinjala, Ramakrishna, Connaughton, John, Perez, Fernando Elias Garcia, Yusaf-Shah, Muhammad, Klonowski, Wlodzimierz, Campello, Maria da Gloria Cabral, Constantin, Palivan, Dubrovnaya, Nina, Barta, Peter, Arcelus, Juan, Lobo-Beristain, Jose Luis, Cardenas, Maria Jose Soto, Peter, Jurg, Ghedira, Habib, Dokucu, Ali, Mackie, Peter, Antonacci, Anthony, Caushaj, Philip, Diefendorf, Anne, Gaffey, Joseph, Hernandez, Cecilia, Marney, Terri, Pieske, Marlys, Shutt, Sandra, Whitehead, Alva
Source:
Thrombosis and Haemostasis. 103:736-748
Publisher Information:
Georg Thieme Verlag KG, 2010.
Publication Year:
2010
Subject Terms:
Adult, medicine.medical_specialty, Cross-sectional study, Population, Hemorrhage, Risk Assessment, Fibrinolytic Agents, Residence Characteristics, Risk Factors, Intensive care, Odds Ratio, medicine, Humans, Registries, cardiovascular diseases, Healthcare Disparities, Risk factor, education, Intensive care medicine, Aged, Cardiopulmonary disease, Aged, 80 and over, Inpatients, education.field_of_study, business.industry, Contraindications, Age Factors, Venous Thromboembolism, Hematology, Odds ratio, Middle Aged, medicine.disease, Hospitalization, Venous thrombosis, Cross-Sectional Studies, Logistic Models, Treatment Outcome, Health Care Surveys, Practice Guidelines as Topic, Guideline Adherence, Risk assessment, business
ISSN:
2567-689X
0340-6245
0340-6245
Access URL:
Rights:
OPEN
Accession Number:
edsair.doi.dedup.....2e6a7e628b0da9a3d222f09badda397d
Database:
OpenAIRE
Weitere Informationen
SummaryLimited data are available regarding the risk for venous thromboembolism (VTE) and VTE prophylaxis use in hospitalised medically ill patients. We analysed data from the global ENDORSE survey to evaluate VTE risk and prophylaxis use in this population according to diagnosis, baseline characteristics, and country. Data on patient characteristics, VTE risk, and prophylaxis use were abstracted from hospital charts. VTE risk and prophylaxis use were evaluated according to the 2004 American College of Chest Physicians (ACCP) guidelines. Multivariable analysis was performed to identify factors associated with use of ACCP-recommended prophylaxis. Data were evaluated for 37,356 hospitalised medical patients across 32 countries. VTE risk varied according to medical diagnosis, from 31.2% of patients with gastrointestinal/hepatobiliary diseases to 100% of patients with acute heart failure, active non-infectious respiratory disease, or pulmonary infection (global rate, 41.5%). Among those at risk for VTE, ACCP-recommended prophylaxis was used in 24.4% haemorrhagic stroke patients and 40–45% of cardiopulmonary disease patients (global rate, 39.5%). Large differences in prophylaxis use were observed among countries. Markers of disease severity, including central venous catheters, mechanical ventilation, and admission to intensive care units, were strongly associated with use of ACCP-recommended prophylaxis. In conclusion, VTE risk varies according to medical diagnosis. Less than 40% of at-risk hospitalised medical patients receive ACCP-recommended prophylaxis. Prophylaxis use appears to be associated with disease severity rather than medical diagnosis. These data support the necessity to improve implementation of available guidelines for evaluating VTE risk and providing prophylaxis to hospitalised medical patients.