PURPOSE: We had previously described an increase in DVT risk in hospitalized surgical patients during the course of hospitalization. We have subsequently tracked our surgical patients on a daily basis so as to assess when the risk increases and what facets of the risk assessment change during the course of hospitalization.
METHODS: we performed a retrospective analysis of prospectively collected data in 103 surgical patients. The patients were tracked on a daily basis using a standardized DVT risk assessment form. The data from the risk assessment forms was tabulated and analyzed using one way analysis of variance to check for changes within the overall risk assessment within each patient as well as the group.
RESULTS: we found that the overall risk category change occurred between day 3 day 4 after admission. The increase in the following sub-categories was noted at the listed days. Major surgery performed- day 2->3. Minor surgery planned-day 1->2. Bed rest day 4->5. Varicose veins day 3->4. Sepsis increase day 2->3.
CONCLUSION: A reassessment of DVT risk of hospitalized surgical patients is mandatory as the DVT risk category does change during hospitalization. The recommended time period for the reassessment is between day 3 to day 4 of hospitalization.
CLINICAL IMPLICATIONS: Mandatory DVT risk assessment is necessary between day 3-day 4 of hospitalization in surgical patients.
DISCLOSURE: Akella Chendrasekhar, No Financial Disclosure Information; No Product/Research Disclosure Information