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Date Published: 31/07/2022
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DOI: https://doi.org/10.51298/vmj.v516i2.3089
Issue
Vol. 516 No. 2 (2022)
Section
Các bài báo
How to Cite
Thị Ngọc Anh, K. ., & Trung Nghĩa, N. . (2022). ANASSESSMENT OF VENOUS THROMBOEMBOLISM PREVENTION IN INTENSIVE CARE UNIT PATIENTS IN E HOSPITAL. Vietnam Medical Journal, 516(2). https://doi.org/10.51298/vmj.v516i2.3089

ANASSESSMENT OF VENOUS THROMBOEMBOLISM PREVENTION IN INTENSIVE CARE UNIT PATIENTS IN E HOSPITAL

Kiều Thị Ngọc Anh1, Nguyễn Trung Nghĩa1,2
1 University of Medicine and Pharmacy, Vietnam National University, Hanoi
2 E Hospital

Main Article Content

Abstract

Objectives: To assess the suitability and the situation of using anticoagulants in the prevention of venous thromboembolism (VTE) at the intensive care unit (ICU) of E hospital. Subjects and research methods: A descriptive, cross-sectional study was conducte. Data was retrospectively collected from medical records of patients who were treated and discharged between 07/2021 and 03/2022 from the ICU. Results: The study enrolled 111 patients, including 86 nonsurgical patientsand 25 surgical patients. The percentageofprevention of unreasonable is 73.9%, including 54.1% under-prophylaxis, 14.4% provision but inappropriate measures, and 5.4% over-prophylaxis. All patients receiving prophylaxis in the study received prophylaxis with enoxaparin (26.1%), in which the proportion of patients with appropriate choice, dose, time of administration, and duration was 24.1%, 69.0%, 41.4%, and 41.4%, respectively. During using drug, 55.2% of patients were monitored by laboratory tests, 17.2% of patients had a risk of drug interactions, and 10.3% of patients experienced bleeding events. Conclusions: The proportion of patients with a  need for prophylaxis was high (74.8%), but the current situation of prevention is not  suitable with the proportion of inappropriate prevention accounting for 73.9%, of which under-prophylaxis  distribute to the largest rate (54.1%). Appropriate prophylaxis can reduce VTE complications and mortality, and should be followed by currentguidelines.

Article Details

Keywords

venous thromboembolism, deep venous thrombosis, pulmonary embolism, prevention, intensive care unit, ICU

References

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