NGHIÊN CỨU THỰC TRẠNG DỰ PHÒNG THUYÊN TẮC HUYẾT KHỐI TĨNH MẠCH TRÊN BỆNH NHÂN HỒI SỨC TÍCH CỰC

Abstract

Objectives: To describe and evaluate the current practices of thromboprophylaxis in intensive care unit patients. Subjects and methods: A prospective observational study of inpatients at the Intensive Care Center, 108 Military Central Hospital between 13/10/2023 and 13/12/2023. Results: The study enrolled 149 patients, including 82 medical and 67 surgical ICU patients. The average age is 58.7 (years) and male patients made up the majority (70.5%). Based on VTE risk stratification, the percentage of patients requiring thromboprophylaxis within the first 24 hours after ICU admission and throughout the entire ICU stay were 74.5% and 87.9%, respectively. However, the actual rate of patients with VTE prophylaxis was much lower, at 16.1%. Therefore, the rate of appropriate VTE prevention was low, at 20.8%, in which inappropriate cases were mostly classified as underprophylaxis. In the subgroup of patients with pharmacological prophylaxis, the appropriateness rate was 50%. Conclusion: Although the need for thromboprophylaxis in ICU patients was high, VTE prophylaxis had not been carried out regularly and underprophylaxis were prominent problem. Compliance with guideline can reduce the risk of complications and mortality. It is essential for the hosital to implement the necessary solutions in anticoagulant stewardship program in order to improve the quality of VTE prophylaxis for ICU patients.