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Venous Thromboembolism Among Hospitalized Patients: Incidence and Adequacy of Thromboprophylaxis – A Retrospective Study
PURPOSE: We aimed to determine the incidence of venous thromboembolism among hospitalized patients in Qatar as well as to analyze the adequacy of VTE assessment and prophylaxis in hospitalized patients. DESIGN: Retrospective observational study. SETTING: Four hospitals under Hamad Medical Corporatio...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9333096/ https://www.ncbi.nlm.nih.gov/pubmed/35912018 http://dx.doi.org/10.2147/VHRM.S370344 |
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author | Ambra, Naseem Mohammad, Osama Hashim Naushad, Vamanjore A Purayil, Nishan K Mohamedali, Mohamed G Elzouki, Abdel Naser Khalid, Muayad Kasim Illahi, Memon Noor Palol, Azeez Barman, Manish Sharif, Muhammad Chalihadan, Sajid Punnorath, Ashraf Mostafa, Abdelrahman Al Hariri, Bassem Khidir, Tameem G M Varikkodan, Irfan |
author_facet | Ambra, Naseem Mohammad, Osama Hashim Naushad, Vamanjore A Purayil, Nishan K Mohamedali, Mohamed G Elzouki, Abdel Naser Khalid, Muayad Kasim Illahi, Memon Noor Palol, Azeez Barman, Manish Sharif, Muhammad Chalihadan, Sajid Punnorath, Ashraf Mostafa, Abdelrahman Al Hariri, Bassem Khidir, Tameem G M Varikkodan, Irfan |
author_sort | Ambra, Naseem |
collection | PubMed |
description | PURPOSE: We aimed to determine the incidence of venous thromboembolism among hospitalized patients in Qatar as well as to analyze the adequacy of VTE assessment and prophylaxis in hospitalized patients. DESIGN: Retrospective observational study. SETTING: Four hospitals under Hamad Medical Corporation, Qatar. PARTICIPANTS: Patients over the age of 18 who were hospitalized between January 2015 and December 2019 and developed venous thromboembolism during hospitalization or within a month after discharge were included. RESULTS: During the study period, 641,994 individuals were admitted to hospitals. The inclusion criteria were satisfied by 209 of them. The mean age was 51.25 years and 54.5% were males. Hypertension and diabetes mellitus were the most common comorbidities found in the overall group. The incidence of VTE was 32.55 [95% CI 28.4, 37.3] per 100,000 admission per year [0.032%]. The annual incidence was least in 2015 (17.8 per 100,000 admissions) and highest in 2018 (44.4 per 100,000 admissions). Eighty-six subjects had DVT, and 109 had PE, whereas 14 had both. And, 67.5% of the patients developed VTE during admission while, 32.5% developed within 1 month of discharge. Moreover, 22.9% of the patients with PE developed pulmonary embolism after discharge from the hospital. VTE assessment was performed on 64.7% of the patients, and 69.7% received VTE prophylaxis in accordance with guidelines. CONCLUSION: Although the occurrence of VTE among hospitalized patients in Qatar is low, healthcare providers need additional education and knowledge of VTE assessment and prophylaxis to follow guidelines for all patients at the time of admission. Furthermore, risk assessment for VTE should be done for all patients at the time of discharge to decide on post-discharge prophylaxis so that incidence of VTE after discharge can be minimized. Future studies should focus on patients who developed VTE after discharge from the hospital as well as on various risk factors. |
format | Online Article Text |
id | pubmed-9333096 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-93330962022-07-29 Venous Thromboembolism Among Hospitalized Patients: Incidence and Adequacy of Thromboprophylaxis – A Retrospective Study Ambra, Naseem Mohammad, Osama Hashim Naushad, Vamanjore A Purayil, Nishan K Mohamedali, Mohamed G Elzouki, Abdel Naser Khalid, Muayad Kasim Illahi, Memon Noor Palol, Azeez Barman, Manish Sharif, Muhammad Chalihadan, Sajid Punnorath, Ashraf Mostafa, Abdelrahman Al Hariri, Bassem Khidir, Tameem G M Varikkodan, Irfan Vasc Health Risk Manag Original Research PURPOSE: We aimed to determine the incidence of venous thromboembolism among hospitalized patients in Qatar as well as to analyze the adequacy of VTE assessment and prophylaxis in hospitalized patients. DESIGN: Retrospective observational study. SETTING: Four hospitals under Hamad Medical Corporation, Qatar. PARTICIPANTS: Patients over the age of 18 who were hospitalized between January 2015 and December 2019 and developed venous thromboembolism during hospitalization or within a month after discharge were included. RESULTS: During the study period, 641,994 individuals were admitted to hospitals. The inclusion criteria were satisfied by 209 of them. The mean age was 51.25 years and 54.5% were males. Hypertension and diabetes mellitus were the most common comorbidities found in the overall group. The incidence of VTE was 32.55 [95% CI 28.4, 37.3] per 100,000 admission per year [0.032%]. The annual incidence was least in 2015 (17.8 per 100,000 admissions) and highest in 2018 (44.4 per 100,000 admissions). Eighty-six subjects had DVT, and 109 had PE, whereas 14 had both. And, 67.5% of the patients developed VTE during admission while, 32.5% developed within 1 month of discharge. Moreover, 22.9% of the patients with PE developed pulmonary embolism after discharge from the hospital. VTE assessment was performed on 64.7% of the patients, and 69.7% received VTE prophylaxis in accordance with guidelines. CONCLUSION: Although the occurrence of VTE among hospitalized patients in Qatar is low, healthcare providers need additional education and knowledge of VTE assessment and prophylaxis to follow guidelines for all patients at the time of admission. Furthermore, risk assessment for VTE should be done for all patients at the time of discharge to decide on post-discharge prophylaxis so that incidence of VTE after discharge can be minimized. Future studies should focus on patients who developed VTE after discharge from the hospital as well as on various risk factors. Dove 2022-07-24 /pmc/articles/PMC9333096/ /pubmed/35912018 http://dx.doi.org/10.2147/VHRM.S370344 Text en © 2022 Ambra et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Ambra, Naseem Mohammad, Osama Hashim Naushad, Vamanjore A Purayil, Nishan K Mohamedali, Mohamed G Elzouki, Abdel Naser Khalid, Muayad Kasim Illahi, Memon Noor Palol, Azeez Barman, Manish Sharif, Muhammad Chalihadan, Sajid Punnorath, Ashraf Mostafa, Abdelrahman Al Hariri, Bassem Khidir, Tameem G M Varikkodan, Irfan Venous Thromboembolism Among Hospitalized Patients: Incidence and Adequacy of Thromboprophylaxis – A Retrospective Study |
title | Venous Thromboembolism Among Hospitalized Patients: Incidence and Adequacy of Thromboprophylaxis – A Retrospective Study |
title_full | Venous Thromboembolism Among Hospitalized Patients: Incidence and Adequacy of Thromboprophylaxis – A Retrospective Study |
title_fullStr | Venous Thromboembolism Among Hospitalized Patients: Incidence and Adequacy of Thromboprophylaxis – A Retrospective Study |
title_full_unstemmed | Venous Thromboembolism Among Hospitalized Patients: Incidence and Adequacy of Thromboprophylaxis – A Retrospective Study |
title_short | Venous Thromboembolism Among Hospitalized Patients: Incidence and Adequacy of Thromboprophylaxis – A Retrospective Study |
title_sort | venous thromboembolism among hospitalized patients: incidence and adequacy of thromboprophylaxis – a retrospective study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9333096/ https://www.ncbi.nlm.nih.gov/pubmed/35912018 http://dx.doi.org/10.2147/VHRM.S370344 |
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