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Transitions in the Prophylaxis, Treatment and Care of Patients with Venous Thromboembolism

INTRODUCTION: Patients experience numerous transitions, including changes in clinical status, pharmacologic treatment and prophylaxis, and progression through the physical locations of their healthcare setting as they advance through a venous thromboembolism (VTE) clinical experience. This review pr...

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Autor principal: Lenchus, Joshua D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735231/
https://www.ncbi.nlm.nih.gov/pubmed/26677164
http://dx.doi.org/10.1007/s12325-015-0271-8
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author Lenchus, Joshua D.
author_facet Lenchus, Joshua D.
author_sort Lenchus, Joshua D.
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description INTRODUCTION: Patients experience numerous transitions, including changes in clinical status, pharmacologic treatment and prophylaxis, and progression through the physical locations of their healthcare setting as they advance through a venous thromboembolism (VTE) clinical experience. This review provides an overview of these transitions and highlights how they can impact clinical care. METHODS: Major public resources (PubMed, MEDLINE, and Google Scholar) were searched using various combinations of the terms: “venous thromboembolism”, “deep vein thromboses”, “pulmonary embolism”, “transitions in care”, and “hospital protocols” to identify narrative reviews, professional guidelines, or primary manuscripts reporting protocol development strategies and/or clinical data, published in English from 2010 through January 2015. The studies included in this review were selected on the basis of extensive reading of the literature and the author’s clinical expertise. RESULTS: VTE treatment and prophylaxis is a dynamic process requiring ongoing patient assessments and adjustments to therapeutic strategies as the patient progresses through various hospital and outpatient settings. Throughout these transitions in care, physicians need to be vigilant of any changes in the patient’s clinical condition which may impact the patient’s risk of VTE, and re-evaluate the intervention(s) employed when such changes occur. A standardized, interdisciplinary VTE clinical pathway developed for medical patients with acute VTE resulted in decreased utilization of hospital resources and healthcare costs, suggesting that further research is warranted in this area. CONCLUSION: The prevention and management of VTE can be optimized by the development and local implementation of standardized evidence-based clinical pathways. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s12325-015-0271-8) contains supplementary material, which is available to authorized users.
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spelling pubmed-47352312016-02-09 Transitions in the Prophylaxis, Treatment and Care of Patients with Venous Thromboembolism Lenchus, Joshua D. Adv Ther Review INTRODUCTION: Patients experience numerous transitions, including changes in clinical status, pharmacologic treatment and prophylaxis, and progression through the physical locations of their healthcare setting as they advance through a venous thromboembolism (VTE) clinical experience. This review provides an overview of these transitions and highlights how they can impact clinical care. METHODS: Major public resources (PubMed, MEDLINE, and Google Scholar) were searched using various combinations of the terms: “venous thromboembolism”, “deep vein thromboses”, “pulmonary embolism”, “transitions in care”, and “hospital protocols” to identify narrative reviews, professional guidelines, or primary manuscripts reporting protocol development strategies and/or clinical data, published in English from 2010 through January 2015. The studies included in this review were selected on the basis of extensive reading of the literature and the author’s clinical expertise. RESULTS: VTE treatment and prophylaxis is a dynamic process requiring ongoing patient assessments and adjustments to therapeutic strategies as the patient progresses through various hospital and outpatient settings. Throughout these transitions in care, physicians need to be vigilant of any changes in the patient’s clinical condition which may impact the patient’s risk of VTE, and re-evaluate the intervention(s) employed when such changes occur. A standardized, interdisciplinary VTE clinical pathway developed for medical patients with acute VTE resulted in decreased utilization of hospital resources and healthcare costs, suggesting that further research is warranted in this area. CONCLUSION: The prevention and management of VTE can be optimized by the development and local implementation of standardized evidence-based clinical pathways. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s12325-015-0271-8) contains supplementary material, which is available to authorized users. Springer Healthcare 2015-12-16 2016 /pmc/articles/PMC4735231/ /pubmed/26677164 http://dx.doi.org/10.1007/s12325-015-0271-8 Text en © The Author(s) 2015 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review
Lenchus, Joshua D.
Transitions in the Prophylaxis, Treatment and Care of Patients with Venous Thromboembolism
title Transitions in the Prophylaxis, Treatment and Care of Patients with Venous Thromboembolism
title_full Transitions in the Prophylaxis, Treatment and Care of Patients with Venous Thromboembolism
title_fullStr Transitions in the Prophylaxis, Treatment and Care of Patients with Venous Thromboembolism
title_full_unstemmed Transitions in the Prophylaxis, Treatment and Care of Patients with Venous Thromboembolism
title_short Transitions in the Prophylaxis, Treatment and Care of Patients with Venous Thromboembolism
title_sort transitions in the prophylaxis, treatment and care of patients with venous thromboembolism
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735231/
https://www.ncbi.nlm.nih.gov/pubmed/26677164
http://dx.doi.org/10.1007/s12325-015-0271-8
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