medigraphic.com
Órgano Oficial del Hospital Angeles Health System

2020, Number 1

<< Back Next >>

Acta Med 2020; 18 (1)

Improper use of tromboprofilaxis in post-surgical patients in general surgery

Saucedo MEM, Delgado NM, Carvallo MP

Language: Spanish
References: 10
Page: 23-27
PDF size: 184.62 Kb.


ABSTRACT

Background: A patient undergoing a surgical procedure has a 20% higher risk for VTE and the risk increases by 30% when there is an absence of optimal prophylaxis. Material and methods: Retrospective, transversal, descriptive study in a period of 2016-2017. Caprini Score was applied. The thromboprophylactic therapy administered to each patient was analyzed and compared with this guideline to estimate compliance. Results: A total of 100 patients. The number of patients at low, moderate, high and very high risk, according to the Caprini score, was 2, 15, 31 and 52%, respectively. It was divided into two groups, adequate prophylaxis (58%) and inadequate prophylaxis (42%), 88% of these patients with very high risk of thrombosis, did not present adequate anticoagulation, at the end 16% patients had DVT with significant difference p ≤ 0.000. Conclusions: The study triumphed in the estimation of the prevalence of episodes of deep vein thrombosis due to a deficiency in the antithrombotic prophylaxis, although it did not represent an increase in the mortality, if an increase in the postoperative morbidity is observed.


REFERENCES

  1. Jaffer AK, Brotman DJ. Prevention of venous thromboembolism after surgery. Clin Geriatr Med. 2008; 24 (4): 625-639. doi:10.1016/j.cger.2008.08.001.

  2. Squizzato A, Venco A. Thromboprophylaxis in day surgery. Int J Surg. 2008; 6 (Suppl. 1): S29-S30. doi:10.1016/j.ijsu.2008.12.020.

  3. Zaghiyan KN, Sax HC, Miraflor E, Cossman D, Wagner W, Mirocha J et al. Timing of chemical thromboprophylaxis and deep vein thrombosis in major colorectal surgery. Ann Surg. 2016; 264 (4): 632-639. doi:10.1097/SLA.0000000000001856.

  4. Galante M, Languasco A, Gotta D, Bell S, Lancelotti T, Knaze V et al. Venous thromboprophylaxis in general surgery ward admissions: strategies for improvement. Int J Qual Heal Care. 2012; 24 (6): 649-656. doi:10.1093/intqhc/mzs052.

  5. Craigie S, Tsui JF, Agarwal A, Sandset PM, Guyatt GH, Tikkinen KA. Adherence to mechanical thromboprophylaxis after surgery: a systematic review and meta-analysis. Thromb Res. 2015; 136 (4): 723-726. doi:10.1016/j.thromres.2015.06.023.

  6. National T, Forum Q, Services M. AORN guidelines for prevention of venous stasis. AORN J. 2007; 85 (3): 607. doi:10.1016/S0001-2092(07)60131-8.

  7. Zaragoza-Delgadillo JC, Sauri-Arce JCA, Ochoa-Carrillo FJ, Fuentes-del-Toro S. Prevención de la enfermedad tromboembólica venosa en cirugía. Gac Med Mex. 2007; 143 (Suppl. 1): 35-39. doi:https://doi.org/10.1016/S1280-4703(16)79274-7.

  8. Mismetti P, Laporte S, Darmon J, Buchmüller A, Decousus H. Meta-analysis of low molecular weight heparin in the prevention of venous thromboembolism in general surgery. Br J Surg. 2001; 88 (7): 913-930. doi:10.1046/j.0007-1323.2001.01800.x.

  9. Sahebally SM, Healy D, Walsh SR. Aspirin in the primary prophylaxis of venous thromboembolism in surgical patients. Surgeon. 2015; 13 (6): 348-358. doi:10.1016/j.surge.2015.05.001.

  10. Borly L, Wille-Jorgensen P, Rasmussen MS. Systematic review of thromboprophylaxis in colorectal surgery-an update. Colorectal Disease. 2005; 7 (2): 122-127. doi:10.1111/j.1463-1318.2004.00734.x.




2020     |     www.medigraphic.com