Assessment of Risk and Prophylaxis for Venous Thromboembolism and Adherence to the American College of Chest Physicians Recommendations during Early Days of Hospital Stay at a Tertiary Care Teaching Hospital in a Developing Country

Panda, Bijoy Kumar; Kumar, Vinod; Ketkar, Mrunal

doi:10.4103/ijves.ijves_7_17

Cited by 3 publications

(7 citation statements)

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“…[85] Possibly, the use of RAM for VTE risk assessment and thromboprophylaxis is not perceived as important in the overall Indian medical community, or the implementation of RAM is perceived to be tedious. This is fueled by low awareness regarding VTE symptoms in patients, [81] and the fear of risks involved with thromboprophylaxis, such as the increased risk of bleeding. [83] Therefore, efforts are needed to increase VTE awareness through multidisciplinary educational programs.…”

Section: Utility Of Rams In Indiamentioning

confidence: 99%

“…[83] Therefore, efforts are needed to increase VTE awareness through multidisciplinary educational programs. [81]…”

Section: Utility Of Rams In Indiamentioning

confidence: 99%

“…Although the acquired risk factors in Asians are similar to the Western population, Table 5 Risk assessment models validated in India. [77][78][79][80][81] RAM used…”

Section: Utility Of Rams In Indiamentioning

confidence: 99%

“…Hussaini et al, 2019 [81] A single-center prospective observational study conducted over 6 months, involving 100 clinical and surgical patients at risk of VTE 41% of patients were identified to be at high risk, 18% at moderate risk, and 41% at low risk of VTE.…”

Section: Modified Padua Scorementioning

confidence: 99%

“…[83] Therefore, efforts are needed to increase VTE awareness through multidisciplinary educational programs. [81] Regarding the prophylaxis of VTE patients, prolonged anticoagulation therapy is not recommended in patients who are at high risk of bleeding. Therefore, for determining the appropriate duration of anticoagulation therapy in VTE patients, it is important to identify high-risk patients for bleeding.…”

Section: Modified Padua Scorementioning

confidence: 99%

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A review of venous thromboembolism risk assessment models for different patient populations: What we know and don’t!

Mehta

Bhave

2023

Medicine

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Venous thromboembolism (VTE) is a common cause of morbidity and mortality in hospitalized patients. Globally, it is also the third leading vascular disease, after myocardial infarction and stroke. The incidence of VTE is reportedly higher in Western countries than in Asian countries. However, recent reports suggest an increasing incidence of VTE in Asian countries, including India. Since VTE is largely a preventable disease, early identification of risk factors can lead to disease prevention or the adoption of appropriate prophylactic measures. To this end, several VTE risk assessment models (RAMs) have been developed and validated for different populations who are at risk of developing VTE, such as hospitalized patients with medical illness/surgical indication, patients with cancer, and pregnant women. Evidence indicates that the systematic use of RAMs improves prophylaxis rates and lowers the burden of VTE. Given the increasing burden of VTE in the Indian population and poor prophylaxis rates, the implementation of systematic RAMs in routine clinical practice might ameliorate the disease burden in the country. We have assessed the evidence-based utilities of available RAMs and have delineated the most common and suitable RAMs for different populations including coronavirus disease 2019 affected patients. This review depicts the current status of implementation and validation of RAMs in the Indian scenario. It also highlights the need for additional validation studies, improved awareness, and implementation of RAMs in clinical practice for lowering the burden of VTE.

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Section: Utility Of Rams In Indiamentioning

confidence: 99%

“…[83] Therefore, efforts are needed to increase VTE awareness through multidisciplinary educational programs. [81]…”

Section: Utility Of Rams In Indiamentioning

confidence: 99%

“…Although the acquired risk factors in Asians are similar to the Western population, Table 5 Risk assessment models validated in India. [77][78][79][80][81] RAM used…”

Section: Utility Of Rams In Indiamentioning

confidence: 99%

Section: Modified Padua Scorementioning

confidence: 99%

Section: Modified Padua Scorementioning

confidence: 99%

See 3 more Smart Citations

A review of venous thromboembolism risk assessment models for different patient populations: What we know and don’t!

Mehta

Bhave

2023

Medicine

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Narrative Review on Prevalence of Venous Thromboembolism and Public Awareness in India

Sarkar,

Srivastava,

Das

et al. 2023

MJN

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Information regarding public knowledge about thrombosis in a broad sense and specifically venous thromboembolism (VTE) is not widely available. This review aims at understanding the true picture of venous thromboembolism prevalence among the Indian population over the last two decades. Although a majority of research studies had identified the occurrence of venous thromboembolism among Orthopaedic patients, it was not a rarity in neurosurgery, urology, burns, gynaecology, and critical care patients. The history of long travelling /flying had also proved a significant causative factor. Healthcare professionals should be alert to this hospital never event and follow best practice treatment algorithms based on international guidelines. Public awareness through social media should also be created to understand venous thromboembolism which can be fatal at times.

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A prospective study on risk assessment and prophylaxis of venous thromboembolism in general surgery patients

Bharti,

Luther,

Deodhar

et al. 2024

Journal of Family Medicine and Primary Care

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Aims and Objective: To evaluate the patients at risk of venous thromboembolism (VTE) based on Caprini VTE risk assessment scale and the effect of implementation of this scale on the use of thromboprophylaxis. Materials and Methods: A prospective study was conducted, including patients who underwent major elective surgical procedures. Demographic details were noted, and VTE prophylaxis offered if needed. According to the VTE risk assessment scale, patients were categorised into very low-, low-, moderate-, and high-risk categories. The data were analysed statistically. Results: A total of 500 patients (women = 259; men = 241) were enrolled in this study. Of them, eight women and nine men developed VTE (P = 0.691). The maximum number of patients who developed VTE belonged to 61–70 years group (n = 7). According to VTE risk assessment, 61 patients were categorised as low-risk, 217 patients as moderate-risk, and 222 patients were categorised as high-risk. A significant (P < 0.0005) correlation was found between body mass index (BMI) and VTE development. In obese patients with BMI >25, 14 patients developed VTE. Out of total, 329 patients received prophylaxis for deep vein thrombosis. Of 284 patients who received pharmacologic prophylaxis, only three developed VTE (P = 0.002). Of 145 patients who received mechanical prophylaxis, 75 had high risk and none of them developed VTE. Four patients had mortality, and a significant (P = 0.022) correlation was found between mortality and VTE development. Conclusion: According to Caprini risk assessment scale, the prophylaxis for VTE was effective in patients undergoing major elective general surgery, resulting in significant lowering of morbidity and mortality.

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Assessment of Risk and Prophylaxis for Venous Thromboembolism and Adherence to the American College of Chest Physicians Recommendations during Early Days of Hospital Stay at a Tertiary Care Teaching Hospital in a Developing Country

Cited by 3 publications

References 1 publication

A review of venous thromboembolism risk assessment models for different patient populations: What we know and don’t!

A review of venous thromboembolism risk assessment models for different patient populations: What we know and don’t!

Narrative Review on Prevalence of Venous Thromboembolism and Public Awareness in India

A prospective study on risk assessment and prophylaxis of venous thromboembolism in general surgery patients

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