[Thromboembolic risk and prophylaxis in hospitalized surgical and internal medicine patients. German results of the international ENDORSE study]
UMass Chan Affiliations
Center for Outcomes ResearchDocument Type
Journal ArticlePublication Date
2009-10-15Keywords
AdultAged
Cross-Sectional Studies
Female
Germany
Guideline Adherence
Hospitalization
Humans
Internal Medicine
Male
Middle Aged
Prevalence
Risk Factors
Surgical Procedures, Operative
Thromboembolism
Young Adult
Health Services Research
Metadata
Show full item recordAbstract
BACKGROUND AND OBJECTIVES: Venous thromboembolism (VTE) leads to an increased morbidity in hospitalized patients. This multinational cross-sectional survey was designed to assess the prevalence of VTE risk factors and to determine the proportion of at-risk patients who receive effective VTE-prophylaxis. The results of the 16 participating German hospitals of the study are presented and compared with the international results. PATIENTS AND METHODS: All hospital inpatients aged >or= 40 years admitted to a medical ward and all surgical inpatients aged >or= 18 years were enrolled. The American College of Chest Physicians (ACCP) guidelines (2004) were applied to assess VTE risk and to determine whether patients were receiving recommended VTE prophylaxis. RESULTS: Overall, 2,370 patients were enrolled: 1,210 (51 %) were categorised as surgical and 1,160 (49 %) as acute medically ill. 838 (69 %) of surgical and 479 (41 %) of medical patients were judged to be at risk for VTE. Of the surgical patients at risk, 772 (92 %) received ACCP-recommended VTE prophylaxis, compared with 337 (70 %) medical patients at risk of VTE. Low-molecular weight heparins were most frequently used. CONCLUSIONS: In total, in comparison to other countries, Germany has a leading position in the implementation of international guidelines with regard to VTE prophylaxis. Whereas in a surgical ward effective VTE prophylaxis is consistently standard care, in the medical indications there is still room for improvement in terms of stratification of VTE risk and corresponding VTE-prophylaxis.Source
Dtsch Med Wochenschr. 2009 Oct;134(43):2163-9. Epub 2009 Oct 13. Link to article on publisher's siteDOI
10.1055/s-0029-1241924Permanent Link to this Item
http://hdl.handle.net/20.500.14038/27121PubMed ID
19826978Notes
Article is in German with an abstract in English.
Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1055/s-0029-1241924