KHẢO SÁT TÌNH HÌNH DỰ PHÒNG HUYẾT KHỐI TĨNH MẠCH TRÊN BỆNH NHÂN PHẪU THUẬT CHỈNH HÌNH TẠI BỆNH VIỆN TRƯNG VƯƠNG

Abstract

Background: Venous thromboembolism (VTE) prophylaxis helps minimize complications and ensures patient safety after orthopedic surgery. Objectives: To describe surgical characteristics, VTE risk, bleeding risk, and the practice of VTE prophylaxis in orthopedic surgery patients. Materials and Methods: A descriptive cross-sectional study was conducted on medical records of hospitalized patients aged ≥ 18 years who underwent lower limb orthopedic surgery (April 1^st 2024 - September 30^th 2024) at the Department of Orthopedic Trauma Surgery, Trung Vuong Hospital. Data collected included patient’s and surgical characteristics. VTE risk, bleeding risk, contraindications to anticoagulants, and the appropriateness of thromboprophylaxis were assessed based on the guideline issued by the Ministry of Health (2023). Results: There were 113 patients included (mean age: 50.5 ± 17.2 years; female: 61.1%). The majority of patients (83.1%) underwent minor orthopedic surgery. The proportion of patients with moderate to high risk of VTE was 45.2%. High bleeding risk was identified in 2 out of 113 patients. Appropriate VTE prophylaxis was achieved in 54.9% of cases, primarily among those undergoing minor orthopedic procedures. Patients aged ≥ 60 years were significantly less likely to receive appropriate VTE prophylaxis compared to those under 60 years (p < 0.001). Conclusions: The proportion of orthopedic surgery patients receiving appropriate VTE prophylaxis was low. Interventions are needed to enhance compliance with thromboprophylaxis guideline, especially among older patients.