Estimated annual numbers of US acute‐care hospital patients at risk for venous thromboembolism

Abstract

Venous thromboembolism (VTE) is a major US health problem. However, the total number of US inpatients who are at risk for VTE is unknown. Our objective was to estimate the number of US acute-care hospital inpatients who were at risk for VTE according to criteria established by the Seventh American College of Chest Physicians (ACCP) Consensus Conference on Antithrombotic and Thrombolytic Therapy guidelines for VTE prevention. Using the 2003 Nationwide Inpatient Sample from the Healthcare Cost and Utilization Project (HCUP), patient diagnoses and procedures were examined to identify major surgery patients (age 18 years, length of hospital stay 2 days) and medical patients (age 40 years, length of hospital stay 2 days). ACCP guidelines were used to estimate the number of surgical and medical patients at risk of developing VTE. Of an estimated 38,220,659 discharges in 2003, 7,786,390 (20%) were surgical inpatients; 44% of which were at low risk for VTE, while 15%, 24%, and 17% were at moderate, high, and very high risk for VTE, respectively. Of the remaining 15,161,586 medical patients, 7,742,419 (51%) met ACCP VTE risk criteria. Over 12 million patients, comprising 31% of US hospital discharges in 2003, were at risk of VTE. Given the existence of internationally-accepted evidence-based guidelines for prevention of VTE, research is required to establish if this patient population is receiving recommended VTE prophylaxis. Am. J. Hematol. 82:777-782, 2007. V

Post‐Hospital Discharge Venous Thromboembolism in Colorectal Surgery

“…It has been estimated that 5-10 % of all in-hospital deaths are a direct result of pulmonary thromboembolic events and 31 % of hospitalized patients are at risk of VTE in the US [3][4][5]. It is important to identify high-risk patients to an attempt to decrease morbidity and mortality of such patients.…”

The Use of Low Molecular Weight Heparin for Venous Thromboembolism Prophylaxis in Medical Patients: How Much Are We Adherent to the Guidelines?

“…Anderson et al (2007) pointed out that 51% of total discharges in the United States (US) in 2003 were estimated as to be at risk of developing VTE [2]. Moreover, Anderson et al (2007) mentioned that PE is considered the commonest preventable cause of death in hospitalized and post hospitalized patients [2].…”

“…Anderson et al (2007) pointed out that 51% of total discharges in the United States (US) in 2003 were estimated as to be at risk of developing VTE [2]. Moreover, Anderson et al (2007) mentioned that PE is considered the commonest preventable cause of death in hospitalized and post hospitalized patients [2]. In addition, Anderson et al (2007), Dismuke and Wanger (1986) and Horlander et al (2003) pointed out that the annual number of deaths in the US as a result of PE is estimated to be as high as 300,000 [2]- [4].…”

Sabemos prescrever profilaxia de tromboembolismo venoso nos pacientes internados?

“…1 Approximately one third of hospitalized patients are at some risk of developing DVT, but this number can be reduced substantially by correct prophylaxis. 2 Around 5-10% of deaths among hospitalized patients are caused by PTE, with the result that VTE is the number one cause of avoidable deaths among these patients. 3 In the United States, its incidence and recurrence are estimated at approximately 900,000 cases per year, with an estimated mortality of 300,000, with a third progressing to sudden death.…”