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Abstract: Poster Presentations |

IMPROVEMENT OF VENOUS THROMBOEMBOLISM PROPHYLAXIS IN HOSPITALIZED PATIENTS AFTER AN EDUCATIONAL PROGRAM FREE TO VIEW

Eduardo F. Sad, MD*; Rodrigo S. Santos, MD; Alice C. Braga, MD
Author and Funding Information

Hospital Felício Rocho, Belo Horizonte, Brazil


Chest


Chest. 2008;134(4_MeetingAbstracts):p59001. doi:10.1378/chest.134.4_MeetingAbstracts.p59001
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Abstract

PURPOSE: To evaluate the results of educational interventions (lectures and brochures)in the venous thromboembolism (vte) prophylaxis in hospitalized patients at our instituition.

METHODS: The appropriateness of VTE thromboprophylaxis was determined, based on ACCP recomendations,in 211 hospitalized patients (medical and surgical) before the educational program (conferences and brochures) to the medical staff . Two months after we review records of 229 inpatients (medical and surgical)to determinate if there was improvement in the appropriateness of VTE thromboprophylaxis.

RESULTS: Before the educational program we had 116 of 211 (54, 98%) patients with correct VTE thromboprophylaxis (ACCP recomendations), 61 of 104 (61, 54%) medical patients and 52 of 107 (48, 60%) surgical patients. After the educational program we had 182 of 229 (79, 47%) (p<0.05) patients with correct VTE thromboprophylaxis (ACCP recomendations), 116 of 141 (82, 26%) (p<0.05) medical patients and 66 of 88 (75, 00%) (p<0.05) surgical patients.

CONCLUSION: Although use of prophylaxis is accepted,its incorporation into clinical practice is very difficult. An educational program can improve the adherence to VTE prophylaxis guidelines and decrease one of the most important preventable cause of morbility and mortality in hospitalized patients.

CLINICAL IMPLICATIONS: VTE is an important cause of mortality in hospitalized patients. An educational program is an efficient and cheap intervention and improve the adherence to VTE prophylaxis guidelines preventing symptomatic nonfatal and fatal VTE in at-riskhospitalized medical and surgical patients.

DISCLOSURE: Eduardo Sad, No Financial Disclosure Information; No Product/Research Disclosure Information

Tuesday, October 28, 2008

1:00 PM - 2:15 PM


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