بررسي ميزان استفاده از عوامل پيشگيري كننده ترومبوآمبولي وريدي در بخش جراحي يك بيمارستان خصوصي در تهران

EVALUATION THE RATE OF THE PREVENTIVE MEASURMENT FOR VENOUS THROMBOEMBOLISM IN SURGICAL WARD OF A PRIVATE HOSPITAL IN TEHRAN

Venous thromboembolism (VTE) is one of the most common problems involves patients in a surgical ward. This problem will be preventable, if we consider risk factors in these patients and use preventive measurments on time. To evaluae our colleages in surgical ward for using preventive medications and physical methods in prevention of venous thromboembolism, we conducted this cross-sectional prospective study. Two hundred and forty five (92.4%) of 265 patients who were admitted and undergone surgery entered the study. Of this population, 182(74.2%) found to have risk factors for VTE, so that 103 patients (56,6%) had just one, 53(29%) had two, 15 patients (88.3%) had 3 and 1 1 (0.6%) of them had more than 3 risk factors. Of these patients only 25 (13.7%) were placed on preventive anticoagulant therapy with a 4+2.8 days delay in starting it. From these patients 4 of them diagnosed for VTE which received therapeutic doses of heparin. Despite high rate of risk factors of VTE in the patients of this ward, in most cases no preventive anticoagulant therapy had been undertaken in this hospital.