PURPOSE: In Intensive care units (ICU) fixed protocol regimen like early weaning protol and insulin infusion protocols have already shown favourable outcomes. In our ICU daily goal protocol is designed to address and document the core measures like DVT prophylaxis, ventilator associated pneumonia prevention and central line blood stream infections, during the rounds with each patient. DVT in ICU patients is hard to diagnose, difficult to treat and has fatal outcomes like Pulmonary rmbolism (PE). This study was designed to assess effectiveness of Daily Goal Assessment protocol for prevention of DVT.
METHODS: Retrospective review of charts was done over 12 months peroid. Randomly every fifth patient in admission sequence to ICU was included. Pediatrics patients were excluded. Data was collected in statistical program for social sciences (SPSS) version thirteen. Descriptive frequences of variables were obtained.
RESULTS: Total 114 patients were included. 65% (n=74) were males and 35% were females (n=40). 103 patients were in medicine service, Nine patient had trauma, four were post operative patients. Out of nine trauma patients three patients had IVC filter and five were on venous compressive devices (VCD) and one patient was receving subcuatneouse heparin. Out of one hundred three medical patients seventy has heparin and VCD while 31 had only VCD. Out of four post operative patients one patient was on fondapraxin and three patients had heparin and VCD. All patients received DVT prophylaxis (100%). Overall heparin and VCD were most common method of DVT prophylaxis (n= 73,64%).
CONCLUSION: Daily goal Assessment is an effective strategy for documentation and implementation of DVT prophylaxis techniques in ICU patients.
CLINICAL IMPLICATIONS: Despite significant advances in the prevention and treatment of venous thromboembolism PE remains the most common preventable cause of hospital death. ICU patients harbor many risk factors for DVT. JCAHO's Intensive Care Advisory Panel has recommended set of core measures addressing key aspects of patient care in ICU. Use of Daily goal Assesment protocol during patients rounds will improve the complaince with standard of care.
DISCLOSURE: Khursheed Haider, No Financial Disclosure Information; No Product/Research Disclosure Information