Abstract:
:Venous thromboembolism (VTE) is a preventable cause of morbidity and mortality in acutely ill patients hospitalized in medical departments. Thromboprophylaxis with anticoagulants was shown to be safe and effective in medical patients with high risk to develop VTE. Despite guidelines recommendations, the rate of thromboprophylaxis in those patients is low. The objective of the study was to evaluate the rate of VTE risk assessment in routine medical department practice, the rate of eligible patients for thromboprophylaxis, the rate of patients who received thromboprophylaxis, and their outcome.Medical records of consecutive patients (3000 at 2013, 1000 at 2018) hospitalized in medical department were reviewed, retrospectively, for demographic, clinical characteristics, thromboprophylaxis treatment with enoxaparin and outcome (up to 90 days following discharge). Padua score was used for VTE risk assessment. VTE diagnosis was based on clinical suspicion.The mean patient's age (52.6% females) was 67.95 ± 21.56 years. 21% were eligible for thromboprophylaxis. Routine VTE risk assessment rate increased significantly following its incorporation into quality parameters, but the rate of treated patients was low (22% at 2013; 46% at 2018). The patients who received thromophylaxis were sicker compared to eligible patients without thromboprophylaxis. The rate of symptomatic VTE was low (0.24%; 0.12% and 0.55% for low and high VTE risk, respectively). Thromboprophylaxis did not have significant effect on the low number of VTE events. No major bleeding was observed.Major efforts are still needed to increase the rate of thromboprophylaxis in all eligible medical patients according to the guidelines recommendations.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Mahlab-Guri K,Otman MS,Replianski N,Rosenberg-Bezalel S,Rabinovich I,Sthoeger Zdoi
10.1097/MD.0000000000019127subject
Has Abstractpub_date
2020-02-01 00:00:00pages
e19127issue
7eissn
0025-7974issn
1536-5964pii
00005792-202002140-00056journal_volume
99pub_type
杂志文章相关文献
MEDICINE文献大全abstract:BACKGROUND:Health education during pregnancy is important to improve maternal and children outcomes. However, the strategies must be specifically designed for each context and demographic characteristics. Our objective was identify health education strategies targeting pregnant women with the intention of improving res...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000016174
更新日期:2019-06-01 00:00:00
abstract::Motion-induced artifacts have been a major drawback in bladder cancer imaging. This study is to evaluate the clinical utility of periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) acquisition in improving motion-induced artifacts in T2-weighted (T2W) magnetic resonance imaging (MR...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017075
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Tranexamic acid (TXA) is an antifibrinolytic drug widely used to reduce blood loss during joint replacements, including total knee arthroplasty (TKA) and total hip arthroplasty (THA). However, there is no final consensus regarding the composition of an optimal administration of TXA regime between topical and...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000004656
更新日期:2016-10-01 00:00:00
abstract::To evaluate the value of lymph node status of primary tumors in predicting the prognosis of synchronous resectable metastatic colorectal cancer (mCRC).The characteristics of resectable mCRC are substantially different from other cancers, and the prognostic factors of resectable mCRC are still controversial.The data of...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001215
更新日期:2015-07-01 00:00:00
abstract::To summarize the clinical features of eyeball rupture with or without orbital fracture and explore the differences between them.In all, 197 patients were observed, and the following data were recorded: sex, age, time of injury, place of injury, cause of trauma, zone of eye injury, intraocular content prolapse, surgica...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007109
更新日期:2017-06-01 00:00:00
abstract:RATIONALE:Some patients with pulmonary arteriovenous malformation (PAVM) present with hypoxemia and life-threatening complications, including stroke and cerebral abscess. Catheter embolization is currently the preferred treatment for PAVM. However, previous studies have revealed that the incidence of PAVM recanalizatio...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018694
更新日期:2020-01-01 00:00:00
abstract::Despite gaining popularity, venovenous extracorporeal membrane oxygenation (VV-ECMO) remains a controversial therapy for acute respiratory failure (ARF) in adult patients due to its equivocal survival benefits. The study was aimed at identifying the preinterventional prognostic predictors of hospital mortality in adul...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004380
更新日期:2016-07-01 00:00:00
abstract::We aimed to elucidate the incidence of protein-energy malnutrition (PEM) in patients with chronic liver disease and to identify factors linked to the presence of PEM.A total of 432 patients with chronic liver disease were analyzed in the current analysis. We defined patients with serum albumin level of ≤3.5 g/dL and n...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002442
更新日期:2016-01-01 00:00:00
abstract::Acute renal failure (ARF) is a common complication in infants who undergo cardiac surgery in the intensive care unit. We report on a modified drainage catheter used in peritoneal dialysis (PD) for the treatment of ARF associated with cardiac surgery in infants. Thirty-nine infants with congenital heart disease undergo...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000077
更新日期:2014-09-01 00:00:00
abstract::Metastatic hepatocellular carcinoma (HCC) of the right ventricle is very rare and difficult to diagnosis.A 79-year-old man who underwent right hemi-hepatectomy for HCC was admitted to our hospital for chest pain, severe dyspnea, and orthopnea. The echocardiogram showed a tumor located in the right ventricle. A biopsy ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005544
更新日期:2016-12-01 00:00:00
abstract::This study aimed to assess the associations of human leukocyte antigen (HLA)-DR and interleukin (IL)-18 gene polymorphisms with hepatitis B virus (HBV).Clinical data were retrospectively reviewed between December 2006 and December 2015 at Xiangyang Central Hospital. HBV patients were assigned to the high and low viral...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011249
更新日期:2018-07-01 00:00:00
abstract::To evaluate the accuracy of contrast-enhanced whole-heart magnetic resonance coronary angiography at 3.0T for assessing significant stenosis (≥50% lumen diameter reduction) in patients with myocardial infarction, by using conventional coronary artery angiography as the reference standard, and also test the performance...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013138
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:Dyslipidemia is a major risk factor for the development of cardiovascular disease. Both statins and omega-3 fatty acids demonstrate beneficial effects on lipid concentrations. The goal was to evaluate the safety and efficacy of combination therapy with statins and omega-3 fatty acids. METHODS:We performed a ...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000013593
更新日期:2018-12-01 00:00:00
abstract::This study was aimed to evaluate whether silver-containing dressings were superior to other types of dressings in the treatment of venous leg ulcers (VLU) and their specific advantages.Eight databases (Cochrane Library, PubMed, Web of Science, Ovid-Medline, Wanfang, VIP, China Biology Medicine, and China National Know...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000022164
更新日期:2020-09-11 00:00:00
abstract::Pedicle screws are widely used in spinal surgeries, but it remains technically demanding to place. There are numerous studies on the anatomy of pedicle; however, there is very little insight on the relationship between the pedicle and the spinous process, which is an important part of the spinal posterior column.The a...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006732
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Healthcare workers (HCWs) were at the frontline during the battle against coronavirus. Understanding and managing their fears and anxieties may hold lessons for handling future outbreaks. However, the experiences and perceptions risk of HCWs from coronavirus still remains to be controversial. Thus, the objec...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020308
更新日期:2020-05-01 00:00:00
abstract:RATIONALE:Tigecycline is the first member of the glycylcycline family. There are rarely reports of tigecycline causing coagulopathy and hypofibrinogenemia until now. We report a case on tigecycline-associated coagulopathy and hypofibrinogenemia and discuss the characteristics of the adverse reaction. PATIENT CONCERNS:...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009124
更新日期:2017-12-01 00:00:00
abstract::Bisphenol A (BPA), a carbon-based synthetic compound, exhibits hormone-like properties and is present ubiquitously in the environment and in human tissues due to its widespread use and biological accumulation. BPA can mimic estrogen to interact with estrogen receptors α and β, leading to changes in cell proliferation,...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000211
更新日期:2015-01-01 00:00:00
abstract:RATIONALE:Pernicious anemia (PA) is an autoimmune gastritis that results from the destruction of gastric parietal cells and the associated lack of an intrinsic factor to bind ingested vitamin B12. While an association between PA and various liver diseases has been rarely reported, reports of associated diseases include...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012547
更新日期:2018-09-01 00:00:00
abstract::For proximal varus osteotomy of the femur in children, a stable fixation, is a concern regarding the safety and the protection of the surgery. The methods of fixation are mostly represented by plating systems; however, the tension band wiring is a simple and eligible option for fixation of proximal femur osteotomy. Th...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000061
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:Hepatectomy and additional common bile duct exploration are required for the treatment of left-sided hepatolithiasis (LSH). METHODS:Eligible LSH patients (n = 62) scheduled for open left lateral segmentectomy or left hemihepatectomy with intraoperative biliary exploration via the left hepatic duct orifice (...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000009643
更新日期:2018-01-01 00:00:00
abstract:RATIONALE:Recurrent laryngeal nerve block is an uncommon complication that can occur after an interscalene brachial plexus block (ISB), which may lead to vocal cord palsy or paresis. However, if the recurrent laryngeal nerve is blocked in patients with a preexisting contralateral vocal cord palsy following neck surgery...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006598
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND AND AIM:Although abdominal pain is a common adverse event related to endoscopic submucosal dissection (ESD), it can be sometimes underestimated by endoscopists. There are some endoscopic interventions available for the prevention of post-ESD pain, but their efficacy has not been established. We investigated ...
journal_title:Medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/MD.0000000000015360
更新日期:2019-04-01 00:00:00
abstract:RATIONALE:Patients of critical pulmonary artery stenosis would face severe hypoxemia, cardiac failure as well as massive hemorrhage during percutaneous balloon dilation and pulmonary arterial stent implantation. Here, we present a case in which the elective use of extracorporeal membrane oxygenation (ECMO) support succ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015754
更新日期:2019-05-01 00:00:00
abstract::Esophageal cancer is a common malignant tumor of the digestive system with a high incidence and a poor prognosis. At the present, CT-based radiomics is providing more and more valuable information. However, the heterogeneity of the study and the poor repeatability of the texture feature parameters have limited its wid...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021470
更新日期:2020-08-07 00:00:00
abstract:INTRODUCTION:Acute hydrocephalus is a common complication of spontaneous or traumatic intracranial bleeding with extensive subarachnoid hemorrhage (SAH) or ventricular extension. However, it has never been reported to be secondary to pneumocephalus. PATIENT CONCERNS:A 32-year-old man was admitted following a motorcycl...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018654
更新日期:2020-01-01 00:00:00
abstract::The relationship between the prevalence of chronic diseases and income level has now become a main theme in poor national economic situations. We examined the prevalence of well-controlled chronic diseases according to income level. Data from the 2008 to 2014 Korea National Health and Nutrition Examination Survey, con...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005286
更新日期:2016-11-01 00:00:00
abstract::Integrative oncology is being increasingly adopted in mainstream cancer care to strengthen anticancer effects and to control cancer-related symptoms.The objective of this study is to identify the characteristics of patients with lung cancer treated at an integrative cancer center in Korea and to determine the effects ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016048
更新日期:2019-06-01 00:00:00
abstract::This study aimed to explore the efficacy and toxicity of image-guided stereotactic body radiotherapy (IGSBR) by helical tomotherapy in patients with lung cancer among Chinese Han population.A total of 21 patients with stage I lung cancer were included. They received a total of 60 Gy factions IGSBR. The outcomes includ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009243
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Cyclin B plays a crucial role in cancer cell cycle progression and is overexpressed in many human cancers, including breast cancer. However, the prognostic value of cyclin B expression in breast cancer is controversial. We performed a meta-analysis to assess the clinicopathological and prognostic significanc...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000006860
更新日期:2017-05-01 00:00:00