PURPOSE: The aim of this study is to determine the incidence of DVT prophylaxis among hospitalized patients in a tertiary care center in Lebanon.
METHODS: This is a prospective study carried out at Makassed Hospital in Lebanon. All patients, with hospital stay of more than 3 days, are risk stratified for DVT according to the ACCP guidelines. The total period of the study was 3 months from July to September 2006. After the risk for DVT is determined, the patient's chart is reviewed to check if DVT prophylaxis is given or not. Data is reported as frequencies and comparison is made between those patients who are admitted to medical, surgical, orthopedic, gynecology and critical care services. All statistical analysis are made using SPSS program.
RESULTS: A total of 403 patients were surveyed, 111 patients were excluded either because they were not candidates for DVT prophylaxis 39 (35%), on heparin treatment 53 (48%) or on warfarin 19 (17%). The overall compliance with DVT prophylaxis in the 292 patients studied was 47%. DVT prophylaxis was indicated and initiated in 39% of patients; 28% in Internal Medicine, 21% in Surgery, 60% in Gynecology, 67% in Orthopedics and 76% in Critical Care. It was indicated and not initiated in 44% of patients; 56% in Internal Medicine, 57% in Surgery, 16% in Gynecology, 14% in Orthopedics and 21% in Critical Care. DVT prophylaxis was indicated and not initiated in 81% of patients with moderate risk for DVT, 59% of high risk, and 45% of those with highest risk (p<0.001). There was no overuse of DVT prophylaxis among patients with no or low risk for DVT.
CONCLUSION: The lowest compliance rate for DVT prophylaxis was among medical and non-orthopedic surgical patients.
CLINICAL IMPLICATIONS: Efforts should be made to improve the rate of DVT prophylaxis among all hospitalized patients and mainly among medical patients.
DISCLOSURE: Hani Lababidi, No Financial Disclosure Information; No Product/Research Disclosure Information