Por favor, use este identificador para citar o enlazar este ítem: https://hdl.handle.net/20.500.12008/56135

Título:

Venous Thromboembolism Risk and Adherence to Pharmacological Thromboprophylaxis in Hospitalized Patients in Uruguay: First Nationwide Study

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Autor:

Mérola, Valentina
Pizzarossa, Ana Carina
López, Maynés
Peverelli, Franco
Bruno, Gustavo
González, Mariana
Roca, Federico
Dentone, Leticia
Pérez, Gerardo
Da Silveira, Lucía
Díaz, Lilian
Tafuri, Josefina
Cuadro, Rosario
Zaquiere, Martín
Bartaburu, Guillermina
Pacello, Franco
Celio, Carina
López, María José
Viana, Marcelo
Fraga, Laura
Blanco, Valeria
Chalart, Paula
Leal, Daniel
Rodríguez, Xilef
Teti, Laura
Goñi, Carolina
Infante, Eduardo
Prícoli, Alejandra
Altieri, Victoria
Guillermo, Cecilia
Martínez, Rosario

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Tipo de documento:

Artículo

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Palabras clave:

Adherence
Deep vein thrombosis
Pulmonary embolism
Thromboprophylaxis
Thrombosis
Venous thromboembolic disease

Descriptores:

ANTICOAGULANTES
USOS TERAPÉUTICOS
ADULTO
PERSONA DE MEDIANA EDAD
ANCIANO
ESTUDIOS TRANSVERSALES
ADHESIÓN A DIRECTRIZ
ESTADÍSTICAS DE SALUD
FACTORES DE RIESGO
HOSPITALIZACIÓN
HUMANOS
EMBARAZO
TROMBOEMBOLIA VENOSA
PREVENCIÓN DE ENFERMEDADES
ADMINISTRACIÓN DEL TRATAMIENTO FARMACOLÓGICO

Año de publicación:

2024

Contenido:

Resumen:

Introduction: Venous thromboembolism (VTE) is a serious, frequent, and preventable medical complication in hospitalized patients. Although the efficacy of prophylaxis (pharmacological and/or mechanical) has been demonstrated, compliance with prophylaxis is poor at international and national levels. Aim: To determine the indication and use of pharmacological thromboprophylaxis in hospitalized patients in Uruguay. Methods: An observational, descriptive, cross-sectional, multicentre study involving 31 nationwide healthcare facilities was conducted. Baseline characteristics associated with hospital admission, the percentage of the population with an indication for thromboprophylaxis, and the percentage of patients receiving pharmacological thromboprophylaxis were assessed. The VTE risk was determined using the Padua score for medical patients; the Caprini score for surgical patients; the Royal College of Obstetricians and Gynaecologists (RCOG) guidelines for pregnant-postpartum patients. Results: 1925 patients were included, representing 26% of hospitalized patients in Uruguay. 71.9% of all patients were at risk of VTE. Of all patients at risk of VTE, 58.6% received pharmacological thromboprophylaxis. The reasons for not receiving thromboprophylaxis were prescribing omissions in 16.1% of cases, contraindication in 15.9% and 9.4% of patients were already anticoagulated for other reasons. Overall, just 68% of patients were "protected" against VTE. Recommendations of major thromboprophylaxis guidelines were followed in 70.1% of patients at risk. Conclusions: Despite the progress made in adherence to thromboprophylaxis indications, nonadherence remains a problem, affecting one in six patients at risk of VTE in Uruguay.

Descripción:

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Editorial:

Raven Press

EN:

Clinical and Applied Thrombosis/Hemostasis. 2024;30

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Citación:

Mérola V, Pizzarossa A, López M y otros. Venous Thromboembolism Risk and Adherence to Pharmacological Thromboprophylaxis in Hospitalized Patients in Uruguay: First Nationwide Study. Clinical and Applied Thrombosis/Hemostasis [en línea]. 2024;30. 11 p.

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Cobertura geográfica:

URUGUAY

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Licencia:

Licencia Creative Commons Atribución - No Comercial (CC - By-NC 4.0)

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Publicaciones Académicas y Científicas
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