Articles |

Utilization of Venous Thromboembolism Prophylaxis in a Medical-Surgical ICU FREE TO VIEW

Richard P. Ryskamp; Steven J. Trottier
Author and Funding Information

From the Department of Critical Care Medicine, St. John's Mercy Medical Center, St. Louis University

1998 by the American College of Chest Physicians

Chest. 1998;113(1):162-164. doi:10.1378/chest.113.1.162
Text Size: A A A
Published online


Study objective: To assess the utilization of venous thromboembolism (VTE) prophylaxis in a medical-surgical ICU.

Design: Prospective cohort study.

Setting: A closed (mandatory critical care consult) medical-surgical ICU of a large community teaching hospital.

Interventions: The medical records of consecutive medical-surgical ICU admissions were evaluated by a single investigator during a 3-month period. Risk factors for VTE and the type and timing of VTE prophylaxis were recorded.

Measurements and results: Of 308 admissions evaluated, 209 were included in the study. VTE prophylaxis was administered within the first 24 h of ICU admission to 179 of the 209 study patients or 86%. Fifty-three percent (n=lll) were surgical patients and 47% (n=98) were medical patients. The study patients had an average of 4.4 risk factors for VTE. Thirty study patients (14%) did not receive VTE prophylaxis.

Conclusion: Eighty-six percent of the medical-surgical patients included in this study received VTE prophylaxis. The utilization of VTE prophylaxis described in this study is higher compared to previously published data. The nature of physician coverage in our medical-surgical ICU (closed unit), consistent practice patterns of a designated ICU staff, and a continuing medical education program involving VTE prophylaxis are the factors believed to be responsible for these results.




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543