Prevention of venous thromboembolism among inpatients at Cotonou teaching hospital, Benin

Abstract

The risk of venous thromboembolic is recognized but poorly managed in this Bénin teaching hospital.

Prevention of Venous Thromboembolism in General Surgery at Gabriel Touré University Hospital in Mali

“…The main risk factors found in our study were major surgery (87.5%), age > 40 years (72.5%), bed rest (68.8%), malignancy (33.8%) and obesity (27.5%). Similar results have been reported in surgical patients in several studies in Africa and the rest of the world [5] [10] [11]. The risk of thromboembolism was high or highest (Caprini score ≥ 3) in most of our patients (80%).…”

“…The prevalence of the risk of VTE in surgery has been estimated at 64.4% worldwide and 65% to 78% in Europe and the United States, according to the multinational ENDORSE study in 2008 [2] [3]. In sub-Saharan Africa, the proportion of surgical patients at risk for VTE ranged from 22% to 73% [4] [5]. A patient undergoing major surgery has a 20-fold risk of VTE and this risk is increased by 30% when there is no optimal prophylaxis [6] [7].…”

“…Studies on the risks of VTE in surgery are few in sub-Saharan Africa and thromboprophylaxis is very often considered insufficient. It was performed in only 28.5% of at-risk surgical patients in Benin [5], and in less than 50% in Nigeria, Botswana and Madagascar [4]. The objectives of this study were: to determine the risk of postoperative venous thromboembolism and to assess its prophylactic management in the general surgery department of Gabriel Toure University Hospital.…”

Effectivity of Thromboprophylxie in Dakar’s Medical Areas

“…According to them, less than a third of patients at risk for thromboembolism benefited from prevention. Despite this low prevalence of thromboprophylaxis (40.9%) of our results, we found that this prevalence is largely above that noted by Gueye Dia [2] who had evaluated thromboprophylaxis in the internal medicine department of Le Dantec at 12% in 2015, and that of the Dédonougbo series [17] at the Cotonou university hospital in 2009 with a prevalence of 6%. Our results also confirm the overall trend of increasing proportions of patients on thromboprophylaxis.…”

Venous thromboembolic disease in Burkina Faso: results of the prospective registry REMAVET (registry of Venous Thromboembolic)

“…This prevention remains insufficient in our countries. In fact, a study of 487 inpatients treated at the hospital in Benin [18] revealed that the prevention of deep vein thrombosis was performed only in 33.7% of indicated cases and this prevention was adequate only in 6% of patients. Similar results were found in Senegal, in the study of Ba et al [19] of 520 patients of 12 hospitals, where deep vein thrombosis prevention was adequately performed only in 33% of patients in medicine and in 37% of surgical patients.…”