THE CURENTSITUATION OF USING DRUGS TO PREVENT VENOUS THROMBOEMBOLISM IN SURGICAL PATIENTS AT NGHE AN GENERAL FRIENDSHIP HOSPITAL
Main Article Content
Abstract
Research objectives: To assess the current situation of using drugs to prevent venous thromboembolism in surgical patients at the Nghe An General Fiendship Hospital. Subjects and research methods: Descriptive cross-sectional study was conducted on 131 surgical patients who were indicated to use drugs to prevent thrombosis in the surgical department of Nghe An General Fiendship Hospital. Results: (1) The rate of prevention of reasonable venous thromboembolism was very high (96.95%); (2) According to VNHA 2016's guidance, the percentage of patients using a suitable anticoagulant is 93.89%; (3) All surgical patients have an appropriate time for taking anticoagulants; (4) There is a high proportion of appropriate timing of using drugs to prevent venous thromboembolism, including orthopedic surgery (82.25%), non-orthopedic surgery (72.22%); (5) The proportion of patients with non-orthopedic surgery who have used anticoagulants in accordance with the recommendation is 71.43%, while the orthopedic surgery patients have time to use anticoagulants which conforms to recommendations is lower (43.55%). Conclusion: The proportion of patients with reasonable prophylaxis against venous thromboembolism was very high (96.95%). The proportion of patients receiving an appropriate anticoagulant is 93.89%. All surgical patients have an appropriate timing of anticoagulant therapy. The right time to use drugs to prevent venous thromboembolism has a high rate
Article Details
Keywords
venous thrombosis, surgery
References
2. Bộ Y tế (2018), Dược thư quốc gia Việt Nam, Nhà xuất bản Y học
3. Zhamak Khorgami, MD, Roza Mofid, MD (2012), Factors Associated With Inappropriate Chemical Prophylaxis of Thromboembolism in Surgical Patients, Clinical and Applied Thrombosis/Hemostasis,2014, Vol. 20(5) 493-497.
4. Amin, A, Stemkowski, S, Lin, J, Yang, G. Thromboprophylaxis rates in US medical centers: success or failure? J Thromb Haemost. 2007;5(8):1610–1616).
5. Balk EM, Ellis AG, Di M, Adam GP, Trikalinos TA (2017) Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update. Rockville
6. Anderson DR, Morgano GP, Bennett C, et al. American Society of Hematology 2019 guidelines for management of venous thromboembolism: prevention of venous thromboembolism in surgical hospitalized patients. Blood Adv. 2019;3(23):3898–944.
7. Menaka Pai and James D Douketis, Prevention of venous thromboembolic disease in surgical patiens. www.uptodate.com, 2017.
8. Petersen PB, Kehlet H, Jorgensen CC. Safety of in‐hospital only thromboprophylaxis after fast‐track total hip and knee arthroplasty: a prospective follow‐up study in 17,582 procedures. Thromb Haemost. 2018;118:2152–61.