Por favor, use este identificador para citar o enlazar este ítem: https://hdl.handle.net/20.500.12008/55484

Título:

Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal

Otros títulos:

Compliance with post-cesarean section thromboprophylaxis recommendations. A cross sectional study in 233 women

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Autor:

Grille, Sofía
Maggiari, Luana
Morales, Ignacio
Ojeda, Jonathan
Pérez, Brian
Pérez, Ignacio
Ribero, Virginia
Guillermo, Cecilia

Tutor:

Tipo de documento:

Artículo

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Palabras clave:

Cesarean section
Pregnancy
Reference Standards
Thrombosis

Descriptores:

ANTICOAGULANTES
CESÁREA
MUJERES
ESTUDIOS TRANSVERSALES
COOPERACIÓN DEL PACIENTE
EMBARAZO
TROMBOEMBOLIA VENOSA
PREVENCIÓN DE ENFERMEDADES

Año de publicación:

2021

Contenido:

Resumen:

Background: Cesarean section increases four times the risk of venous thromboembolism compared to vaginal delivery. The Royal College of Obstetricians and Gynecologists guidelines are used at our service. A written alert was designed to stratify patients at high, intermediate or low risk making a suggestion for thromboprophylaxis. Aim: To assess the compliance with the guidelines and to evaluate the impact of a written alert in the thromboprophylaxis compliance in women subjected to caesarean section. Patients and methods: Review of medical records of 233 women aged 19 to 32 years, subjected to a caesarean section in a Gynecology Service, between 2016-2017. Results: Compliance with recommendations was observed in 29% of patients (68/233), 86% in the low-risk group, 26% in the intermediate risk group and 100% in the high risk group. In 41/233 (18%) of patients, a written alert was included in the medical record. Compliance with recommendations in the presence of the written alert was 61% (25/41 women) compared to 22% (43/192) in those lacking the alert (p < 0.01). In women whose emergency caesarean section was the only risk factor, the compliance with the recommendation was 8%, compared with 30% among those who had at least one thrombotic risk factor associated with caesarean section (p < 0.01). Conclusions: In this cross-sectional study, we observed a low compliance with thromboprophylaxis guidelines in cesarean women. We observed that the use of a written alert improved the compliance with thromboprophylaxis.

Descripción:

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Editorial:

Sociedad Médica de Santiago

EN:

Revista Médica de Chile. 2021;149(6):881-887

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Citación:

Grille S, Maggiari L, Morales I y otros. Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal. Revista Médica de Chile [en línea]. 2021;149(6):881-887

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Licencia Creative Commons Atribución (CC - By 4.0)

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