Thrombocalc: implementation and uptake of personalized postpartum venous thromboembolism risk assessment in a high‐throughput obstetric environment

O’Shaughnessy, Fergal; Donnelly, Jennifer; Cooley, Sharon; Deering, Mary; Raman, Ajita; Gannon, Geraldine; Hickey, Jane; Holland, Alan; Hayes, Niamh; Bennett, Kathleen; Áinle, Fionnuala Ní; Cleary, Brian

doi:10.1111/aogs.13206

Cited by 7 publications

(8 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Because of the small size of the nonstudy cohort, these differences are unlikely to have influenced the prevalence of these risk factors to an important degree. Second, we have previously reported on the potential for minor misclassifications in VTE risk factors relating to age, parity, delivery outcome, gestational age, and delivery mode, affecting an estimated 14% of risk assessments completed at our institution . Although the availability of information from the hospital's obstetric management system allows us to correct all inaccuracies in relation to these specific misclassifications, there remains a small potential for residual inaccuracies, primarily arising from the omission of VTE risk factors from the risk assessment, and subsequent underestimation of prevalence.…”

Section: Discussionmentioning

confidence: 99%

“…Postpartum VTE risk assessment is carried out using an electronic risk assessment tool, termed “Thrombocalc.” Full details of this risk assessment process and an image of the risk assessment tool are previously published . In brief, Thrombocalc allows for standardized assessment of postpartum VTE risk in each individual woman at the point of care.…”

Section: Methodsmentioning

confidence: 99%

“…Full details of this risk assessment process and an image of the risk assessment tool are previously published. 25 In brief, Thrombocalc allows for standardized assessment of postpartum VTE risk in each individual woman at the point of care. An individual VTE risk assessment is carried out immediately after delivery by the midwife caring for the woman during labor.…”

Section: Data Acquisitionmentioning

confidence: 99%

See 2 more Smart Citations

Prevalence of postpartum venous thromboembolism risk factors in an Irish urban obstetric population

O’Shaughnessy

Donnelly

Bennett

et al. 2019

Journal of Thrombosis and Haemostasis

Self Cite

View full text Add to dashboard Cite

Background Obstetric venous thromboembolism (VTE) is a leading cause of maternal morbidity and mortality. A clear understanding of the burden of VTE risk at a population level is a prerequisite to effective prevention; however, existing data are limited. Objectives Describe the prevalence and patterns of VTE risk factors among postpartum women and consider the implications for VTE prevention practices. Method We undertook a cross‐sectional study of prospectively collected data from sequential postpartum VTE risk assessments completed between January 2015 and December 2017 in the Rotunda Hospital, Dublin. Results We analyzed postpartum VTE risk factors in a large unselected Irish urban obstetric cohort of 21 019 consecutively sampled women. This represents more than 90% of all women giving birth in a single institution over a 3‐year period. The most common VTE risk factors related to maternal characteristics and delivery characteristics, including overweight and obesity (36%), age ≥35 (35%) and cesarean delivery (32%). More than three‐quarters of women had at least 1 VTE risk factor (78%) and more than 40% had multiple (2 or more) VTE risk factors. One‐fifth of women had no VTE risk factors before delivery, yet went on to develop VTE risk factors during delivery or in the postpartum period. Reflecting the differences in thromboprophylaxis thresholds internationally, the proportion of women who would have received a recommendation for postpartum thromboprophylaxis ranged from 7% to 37% under various clinical guidelines. Conclusion This study demonstrates the high prevalence of VTE risk factors among postpartum women. Postpartum VTE risk is highly individualized and complex.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Data Acquisitionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of postpartum venous thromboembolism risk factors in an Irish urban obstetric population

O’Shaughnessy

Donnelly

Bennett

et al. 2019

Journal of Thrombosis and Haemostasis

Self Cite

View full text Add to dashboard Cite

show abstract

“…Dr O’Shaughnessy of the Rotunda Hospital, Dublin, Ireland, presented pilot data evaluating the impact of systematic electronic VTE risk assessment in all postpartum women combined with a strong positive campaign to increase VTE awareness among multidisciplinary colleagues on VTE prevention strategies in a large maternity hospital . Introduction of these measures resulted in an increase in use of risk‐appropriate pharmacological thromboprophylaxis (RA‐TPX) from 68% to 89% ( P < 0.001).…”

Section: Reducing the Risk Of Vte In Pregnancymentioning

confidence: 99%

“…The reality of performing VTE risk assessment can be incredibly challenging, particularly in the often chaotically busy environment of the delivery suite or postnatal ward. However, we have recently demonstrated that, when this complex, multistep process is streamlined and tailored to this extremely busy environment with intense multidisciplinary stakeholder involvement, systematic risk assessment of a very high proportion of women is feasible …”

Section: Vte Awareness During Pregnancy and The Importance Of Risk Asmentioning

confidence: 99%

VTE risk assessment in pregnancy

Ewins

Áinle

2020

Research and Practice in Thrombosis and Haemostasis

View full text Add to dashboard Cite

A State of the Art lecture, “VTE Risk Assessment in Pregnancy,” was presented at the ISTH congress in Melbourne, Australia, in 2019. Venous thromboembolism (VTE) remains a leading cause of death in pregnancy and in the postpartum period. Moreover, VTE can result in lifelong disability. The elevated baseline pregnancy‐associated VTE risk is further increased by additional maternal, pregnancy, and delivery characteristics, highlighting the importance of VTE risk assessment in early pregnancy, at delivery, and if risk factors change. This review will provide an overview of the impact and epidemiology of VTE in pregnancy (including reported risk factors for pregnancy‐associated VTE), will address VTE risk‐reduction strategies (including ongoing studies), and will provide a summary of critical knowledge gaps. Finally, throughout this review, relevant new data presented during the 2019 ISTH annual congress in Melbourne will be summarized.

show abstract

Illustrated State‐of‐the‐Art Capsules of the ISTH 2019 Congress in Melbourne, Australia

Ward

Andrews

2019

Research and Practice in Thrombosis and Haemostasis

View full text Add to dashboard Cite

The 27th Congress of the International Society of Thrombosis and Haemostasis (ISTH) is an international conference held July 6‐10, 2019, in Melbourne, the capital of the state of Victoria, Australia. The ISTH congress has previously been held every other year, with the Scientific and Standardization Committee (SSC) meeting held annually, until 2019 when it became one combined annual meeting of the ISTH and SSC. The conference covers clinical and basic aspects of hemostasis and thrombosis, and this year includes 5 Plenary lectures and >50 State of Art (SOA) lectures, presented by internationally recognized speakers, as well as numerous oral session and poster presentations selected from submitted abstracts, including many early career and reach the world support recipients. This SOA review article in RPTH contains concise Illustrated Review Articles or ‘Capsules’ consisting of short text, three references and a figure, with topics including stroke, cancer‐associated thrombosis, hemophilia, coagulation, the interface between infection and inflammation, and in the experimental and discovery areas, megakaryocyte biology and platelet production, structure‐function of key receptors and coagulation factors, and emerging new roles for thrombotic/hemostatic factors. Together, these articles highlight novel findings which will advance knowledge and with the potential to change clinical practice and improve outcomes. It is hoped that conference attendees and followers will enjoy utilizing the images for ongoing education and during the conference for live tweeting during sessions, to assist in the broadcasting and promotion of the science to those unable to attend, or who have chosen to attend a concurrent session. Use #IllustratedReview and #ISTH2019 on social media.

show abstract

Thrombocalc: implementation and uptake of personalized postpartum venous thromboembolism risk assessment in a high‐throughput obstetric environment

Abstract: Our electronic, score-based VTERA tool provides a highly effective mechanism for rapid assessment of individual postpartum venous thromboembolism risk in a high-throughput environment.

Cited by 7 publications

References 26 publications

Prevalence of postpartum venous thromboembolism risk factors in an Irish urban obstetric population

Prevalence of postpartum venous thromboembolism risk factors in an Irish urban obstetric population

VTE risk assessment in pregnancy

Illustrated State‐of‐the‐Art Capsules of the ISTH 2019 Congress in Melbourne, Australia

Contact Info

Product

Resources

About