Journal of Epidemiology and Global Health

Volume 7, Issue 4, December 2017, Pages 295 - 298

Venous thromboembolism risks and prophylaxis in King Fahad Hospital, Madinah, Saudi Arabia

Authors
Ayman Kharabaa, *, A7yman@hotmail.com, Mohammad Al Aboudb, Madinah Reham Kharabahc, Khaled Alyamic, Amal Al Beihanyb
aDepartment of Critical Care, King Fahd Hospital, Madinah, Saudi Arabia
bDepartment of Medicine, King Fahd Hospital, Madinah, Saudi Arabia
cCollege of Medicine, Taibah University, Madinah, Saudi Arabia
*Corresponding author.
Corresponding Author
Ayman KharabaA7yman@hotmail.com
Received 28 January 2017, Revised 30 August 2017, Accepted 15 September 2017, Available Online 22 September 2017.
DOI
10.1016/j.jegh.2017.09.003How to use a DOI?
Abstract

Objective: To evaluate the risk factors, physician’s compliance, and implementation of the American College of Chest Physicians (ACCP) guidelines for venous thromboembolism (VTE) prophylaxis at our hospital.

Methods: A retrospective cohort study was conducted in King Fahad Hospital, Madinah, Saudi Arabia, from July 2015 to September 2015. We used the ACCP 2012 guidelines to assess the VTE risk and to determine whether patients had received the recommended prophylaxis. All hospital inpatients aged 14 years or older were assessed for risk of VTE by reviewing the hospital chart. The primary endpoint was the rate of appropriate thromboprophylaxis.

Results: A total of 414 patients were studied. Their mean age was 47.74 ± 20.4 years, and 208 (50.2%) were female. There were 292 (70.5%) patients at high risk and 73 (17.6%) at moderate risk. As per the ACCP criteria, 375 (90.5%) patients were at risk for VTE and qualified for prophylaxis. Although 227 (60.5%) received some form of prophylaxis, only 144 (38.4%) of them received ACCP-recommended VTE prophylaxis.

Conclusion: In our hospital, most of the patients are at high risk for developing VTE. The VTE prophylaxis guideline is not properly implemented and is underutilized. Strategies should be developed and implemented to ensure patient safety.

Copyright
© 2017 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
7 - 4
Pages
295 - 298
Publication Date
2017/09/22
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2017.09.003How to use a DOI?
Copyright
© 2017 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

TY  - JOUR
AU  - Ayman Kharaba
AU  - Mohammad Al Aboud
AU  - Madinah Reham Kharabah
AU  - Khaled Alyami
AU  - Amal Al Beihany
PY  - 2017
DA  - 2017/09/22
TI  - Venous thromboembolism risks and prophylaxis in King Fahad Hospital, Madinah, Saudi Arabia
JO  - Journal of Epidemiology and Global Health
SP  - 295
EP  - 298
VL  - 7
IS  - 4
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2017.09.003
DO  - 10.1016/j.jegh.2017.09.003
ID  - Kharaba2017
ER  -