Venous thromboembolism prophylaxis in patients hospitalized in medical wards: A real life experience.

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

Medicine

authors

Mahlab-Guri K,Otman MS,Replianski N,Rosenberg-Bezalel S,Rabinovich I,Sthoeger Z

doi

10.1097/MD.0000000000019127

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

e19127

issue

7

eissn

0025-7974

issn

1536-5964

pii

00005792-202002140-00056

journal_volume

99

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Association of Bisphenol A Exposure With Hypertension and Early Macrovascular Diseases in Chinese Adults: A Cross-Sectional Study.

    abstract::Bisphenol A (BPA) is an environmental endocrine disruptor that has been associated with cardiovascular outcomes in previous observational studies. We aimed to examine the relationships of urinary BPA levels with hypertension and early macrovascular diseases.This is a cross-sectional study. From June through August 200...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001814

    authors: Wang T,Xu M,Xu Y,Lu J,Li M,Chen Y,Wang W,Lai S,Bi Y,Ning G

    更新日期:2015-10-01 00:00:00

  • Prognostic factors for patients with World Health Organization grade III meningiomas treated at a single center.

    abstract::We analyzed the characteristics of patients with World Health Organization (WHO) grade III meningioma to identify factors that may predict tumor recurrence and overall survival (OS).We retrospectively reviewed the patients diagnosed with WHO grade III meningioma who were surgically treated at our institute between 200...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007385

    authors: Shan B,Zhang J,Song Y,Xu J

    更新日期:2017-06-01 00:00:00

  • Sustained clinical response after single course of rituximab as first-line monotherapy in adult-onset asthma and periocular xanthogranulomas syndrome associated with IgG4-related disease: A case report.

    abstract:RATIONALE:IgG4-related disease (IgG4-RD) is an emerging immune-mediated disease characterized by multi-organ involvement and variable clinical behavior. PATIENT CONCERNS:We describe the case of a 50-year-old woman affected by a rare variant of IgG4-RD, characterized by eyelid xanthelasmas, adult-onset asthma and saliv...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011143

    authors: Pomponio G,Olivari D,Mattioli M,Angeletti A,Rossetti G,Goteri G,Gabrielli A

    更新日期:2018-06-01 00:00:00

  • Computed tomography-guided cryoablation for adrenal metastases: local control and survival.

    abstract::To evaluate the feasibility, local control, and survival after computed tomography (CT)-guided cryoablation for adrenal metastases.This study included 31 consecutive patients with adrenal metastases who were treated by CT-guided cryoablation in our center from July 2011 to October 2017. The technical success rate, loc...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013885

    authors: Zhang W,Sun LJ,Xu J,Fu YF,Zhuang ZX

    更新日期:2018-12-01 00:00:00

  • CLIF-SOFA score and SIRS are independent prognostic factors in patients with hepatic encephalopathy due to alcoholic liver cirrhosis.

    abstract::Hepatic encephalopathy (HE) is a complication associated with worst prognosis in decompensated liver cirrhosis (LC) patients. Previous studies have identified prognostic factors for HE, and recent studies reported an association between systemic inflammatory response syndrome (SIRS) and liver disease. This study aimed...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003935

    authors: Jeong JH,Park IS,Kim DH,Kim SC,Kang C,Lee SH,Kim TY,Lee SB

    更新日期:2016-06-01 00:00:00

  • Meta-analysis of clinical trials comparing the efficacy and safety of liposomal cisplatin versus conventional nonliposomal cisplatin in nonsmall cell lung cancer (NSCLC) and squamous cell carcinoma of the head and neck (SCCHN).

    abstract:BACKGROUND:While liposomal cisplatin has shown enhanced drug tolerability and higher targeting property as compared with the conventional cisplatin, the doubt remains whether lipoplatin could improve its anticancer efficacy. What's more, there is still no systematic evaluation of the safety profiles of lipoplatin compa...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000013169

    authors: Xu B,Zeng M,Zeng J,Feng J,Yu L

    更新日期:2018-11-01 00:00:00

  • Transcatheter aortic valve implantation in the patients with chronic liver disease: A mini-review and meta-analysis.

    abstract:BACKGROUND:Chronic liver disease is traditionally conceived as a risk factor for cardiovascular surgery. Transcatheter aortic valve implantation (TAVI) has recently burgeoned to precede surgical aortic valve replacement (SAVR) in patients with severe aortic stenosis at intermediate to high surgical risk. The evidence r...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000019766

    authors: Ma X,Zhao D,Li J,Wei D,Zhang J,Yuan P,Kong X,Ma J,Ma H,Sun L,Zhang Y,Jiao Q,Wang Z,Zhang H

    更新日期:2020-04-01 00:00:00

  • Risk of Retinal Vein Occlusion Following End-Stage Renal Disease.

    abstract::The aim of the study was to investigate the risk of retinal vein occlusion (RVO) following end-stage renal disease (ESRD). The study was designed as a retrospective, nationwide, matched cohort study. The subjects were ESRD patients identified by the International Classification of Diseases, Ninth Revision, Clinical Mo...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000003474

    authors: Chang YS,Weng SF,Chang C,Wang JJ,Tseng SH,Wang JY,Jan RL

    更新日期:2016-04-01 00:00:00

  • The use of apatinib in treating primary pleural synovial sarcoma: A case report.

    abstract:RATIONALE:Apatinib is an oral tyrosine kinase inhibitor targeting vascular endothelial growth factor receptor-2. It has been shown that apatinib is effective and safe for treatment of multiple solid tumors, including gastric cancer, liver cancer, non-small-cell lung cancer, and breast cancer. However, there is currentl...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018382

    authors: Chen S,Zhang K,Wan X,Chen Y,Ma S,Deng Q

    更新日期:2019-12-01 00:00:00

  • Waist-to-height ratio is better than body mass index and waist circumference as a screening criterion for metabolic syndrome in Han Chinese adults.

    abstract::Metabolic syndrome (MetS) is a major public health concern. Efficient screening requires criteria that are economical, easily accessible, and applicable for all populations. We aimed to compare the discriminating ability of body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) for the diagn...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008192

    authors: Yang H,Xin Z,Feng JP,Yang JK

    更新日期:2017-09-01 00:00:00

  • Malakoplakia as a cause of severe hypercalcemia through ectopic 25-hydroxyvitamin D3 1-alpha-hydroxylase expression: A case report.

    abstract:RATIONALE:Malakoplakia is a rare disease characterized by the presence of nongranulomatous macrophage infiltration. In most cases, it affects the urinary tract. Malakoplakia can cause acute kidney injury when it is localized in the kidneys. PATIENT CONCERNS:Here, we report the case of a 65-year-old female patient with...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012090

    authors: Chemouny JM,Sannier A,Hanouna G,Champion L,Vrtovsnik F,Daugas E

    更新日期:2018-10-01 00:00:00

  • Impressive long-term response with chemo-endocrine therapy in a premenopausal patient with metastatic breast cancer: A case report.

    abstract:RATIONALE:Patients with, or who develop, metastatic breast cancer have a 5-year relative survival of about 25%. Endocrine therapy clearly improves outcomes in patients with estrogen receptor-positive breast cancer. In the metastatic setting, the primary goal of treatment is to maintain long-term disease control with go...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020396

    authors: Maltoni R,Palleschi M,Gallerani G,Bravaccini S,Cecconetto L,Melegari E,Altini M,Rocca A

    更新日期:2020-06-12 00:00:00

  • Herbal medicine for the management of postoperative pain: A protocol for the systematic review of randomized controlled trials.

    abstract:BACKGROUND:Postoperative pain is caused by surgical trauma and poses a significant challenge for health care providers. Opioid analgesics are commonly used to control postoperative pain. However, these drugs are associated with a number of negative side effects. This review will assess the clinical evidence for and aga...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014016

    authors: Park KM,Kim JH

    更新日期:2019-01-01 00:00:00

  • Prophylaxis of ibuprofen in acute mountain sickness: A protocol for systematic review and meta-analysis.

    abstract:BACKGROUND:Acute mountain sickness (AMS) is the effect when people accessing high altitude in a short period of time. As a cyclooxygenase (COX) inhibitor, ibuprofen could alleviate the symptoms of AMS. However, whether it can prevent AMS or not is still controversial. It is necessary to perform a meta-analysis to evalu...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023233

    authors: Yi H,Wang K,Gan X,Li L,Zhang Q,Xiang J,Yuan X,Zhang Y,Wang Y

    更新日期:2020-11-13 00:00:00

  • Low Response of Renin-Angiotensin System to Sodium Intake Intervention in Chinese Hypertensive Patients.

    abstract::The interactions of sodium balance and response of renin-angiotensin-aldosterone system are important for maintaining the hemodynamic stability in physiological conditions. However, the influence of short-term sodium intake intervention in the response of renin-angiotensin system (RAS) on hypertensive patients is stil...

    journal_title:Medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/MD.0000000000002602

    authors: Feng W,Cai Q,Yuan W,Liu Y,Bardeesi ASA,Wang J,Chen J,Huang H

    更新日期:2016-02-01 00:00:00

  • Clinical risk stratification in the emergency department predicts long-term cardiovascular outcomes in a population-based cohort presenting with acute chest pain: primary results of the Olmsted county chest pain study.

    abstract::The long-term cardiovascular outcomes of a population-based cohort presenting to the emergency department (ED) with chest pain and classified with a clinical risk stratification algorithm are not well documented. The Olmsted County Chest Pain Study is a community-based study that included all consecutive patients pres...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0b013e3181b98782

    authors: Farkouh ME,Aneja A,Reeder GS,Smars PA,Bansilal S,Lennon RJ,Wiste HJ,Razzouk L,Traverse K,Holmes DR Jr,Mathew V

    更新日期:2009-09-01 00:00:00

  • Autoimmune myelofibrosis and systemic lupus erythematosus in a middle-aged male presenting only with severe anemia: a case report.

    abstract::Autoimmune myelofibrosis is a distinct clinicopathologic entity that occasionally occurs with autoimmune disorders such as systemic lupus erythematosus (SLE) and rheumatoid arthritis. Most cases of autoimmune myelofibrosis have been reported in female patients with a known history of SLE. We report a case of a middle-...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000741

    authors: Pundole X,Konoplev S,Oo TH,Lu H

    更新日期:2015-05-01 00:00:00

  • Spectrum of cardiac lesions in Behçet disease: a series of 52 patients and review of the literature.

    abstract::Cardiac abnormalities in patients with Behçet disease (BD) include pericarditis, myocarditis, endocarditis with valvular regurgitation, intracardiac thrombosis, endomyocardial fibrosis, coronary arteritis with or without myocardial infarction, and aneurysms of the coronary arteries or sinus of Valsalva. Data regarding...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0b013e3182428f49

    authors: Geri G,Wechsler B,Thi Huong DL,Isnard R,Piette JC,Amoura Z,Resche-Rigon M,Cacoub P,Saadoun D

    更新日期:2012-01-01 00:00:00

  • Preventing Staphylococcus aureus bacteremia and sepsis in patients with Staphylococcus aureus colonization of intravascular catheters: a retrospective multicenter study and meta-analysis.

    abstract::Two previous studies in tertiary care hospitals identified Staphylococcus aureus colonization of intravascular (IV) catheters as a strong predictor of subsequent S. aureus bacteremia (SAB), even in the absence of clinical signs of systemic infection. Bacteremia was effectively prevented by timely antibiotic therapy. W...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,多中心研究,评审

    doi:10.1097/MD.0b013e31822403e9

    authors: Hetem DJ,de Ruiter SC,Buiting AGM,Kluytmans JAJW,Thijsen SF,Vlaminckx BJM,Wintermans RGF,Bonten MJM,Ekkelenkamp MB

    更新日期:2011-07-01 00:00:00

  • Different dosages of mifepristone versus enantone to treat uterine fibroids: A multicenter randomized controlled trial.

    abstract:BACKGROUND:To evaluate the efficacy and safety of 10 mg and 25 mg mifepristone per day compared with 3.75 mg enantone in treating uterine fibroids. METHODS:This is a Multicenter randomized controlled trial. A total of 501 subjects with symptomatic uterine fibroids were enrolled and randomized into the group of 10mg, 2...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/MD.0000000000006124

    authors: Liu C,Lu Q,Qu H,Geng L,Bian M,Huang M,Wang H,Zhang Y,Wen Z,Zheng S,Zhang Z

    更新日期:2017-02-01 00:00:00

  • Tigecycline in the treatment of fulminant Mycoplasma pneumoniae pneumonia non-responsive to azithromycin and fluoroquinolone: A case report.

    abstract:RATIONALE:Fulminant macrolide-resistant Mycoplasma pneumoniae pneumonia (MPP) has seldom been reported, and cases of MPP usually show rapid improvement after fluoroquinolones or tetracyclines addition. The purpose of this case report is to highlight the importance of proper selection of antibiotics for treatment of sev...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021128

    authors: Yuan X,Liu J,Bai C,Niu W,Wang J,Li P,Liu H,Luo Y

    更新日期:2020-07-10 00:00:00

  • Association Between Expression of Cancer Stem Cell Markers and Poor Differentiation of Hepatocellular Carcinoma: A Meta-Analysis (PRISMA).

    abstract::The role of cancer stem cell (CSC) markers in differentiation of hepatocellular carcinoma (HCC) remains uncertain. We conducted a meta-analysis to first investigate the association between expression of CSC markers (CD133, CD90, CD44, and EpCAM) and poor differentiation of HCC, and second, to determine if these CSC ma...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000001306

    authors: Liu R,Shen Y,Nan K,Mi B,Wu T,Guo J,Li M,Lv Y,Guo H

    更新日期:2015-08-01 00:00:00

  • Prospective Evaluation of Pharmacogenomics and Metabolite Measurements upon Azathioprine Therapy in Inflammatory Bowel Disease: An Observational Study.

    abstract::Up to approximately 40% to 50% of patients discontinue thiopurine therapy during the course of inflammatory bowel disease (IBD). We investigated the role of the metabolite thiopurine in IBD treatment. This was a prospective study. IBD patients receiving azathioprine (AZA) were prospectively included. Thiopurine methyl...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003326

    authors: Fangbin Z,Xiang G,Liang D,Hui L,Xueding W,Baili C,Huichang B,Yinglian X,Peng C,Lizi Z,Yanjun C,Feng X,Minhu C,Min H,Pinjin H

    更新日期:2016-04-01 00:00:00

  • Use of Valtrac™-secured intracolonic bypass in laparoscopic rectal cancer resection.

    abstract::The occurrence of anastomotic leakage (AL) remains a major concern in the early postoperative stage. Because of the relatively high morbidity and mortality of AL in patients with laparoscopic low rectal cancer who receive an anterior resection, a fecal diverting method is usually introduced. The Valtrac™-secured intra...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000224

    authors: Ye F,Chen D,Wang D,Lin J,Zheng S

    更新日期:2014-12-01 00:00:00

  • Prenatal ultrasonic diagnosis of absent pulmonary valve syndrome: A case report.

    abstract:RATIONALE:Absent pulmonary valve syndrome (APVS) is a rare congenital heart disease that is often associated with tetralogy of Fallot (TOF). Here, we report 2 cases of APVS associated with TOF diagnosed via fetal echocardiography and discuss their specific ultrasonographic characteristics. PATIENT CONCERNS:Two pregnan...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007747

    authors: Zhang WJ,Zhang ZL,Chang JJ,Song XY

    更新日期:2017-09-01 00:00:00

  • Comparison of diabetes risk estimate in the cities of Riyadh and Amman.

    abstract::A significant rise in the prevalence of type 2 diabetes mellitus (T2DM) in the Middle-east and North Africa (MENA) region has seen over the last few decades. The present observational study aimed to evaluate and compare the risk of developing T2DM in the cities of Riyadh and Amman using the Arab Diabetes Risk Assessme...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012689

    authors: Alghwiri AA,Alghadir A,Awad H,Anwer S

    更新日期:2018-10-01 00:00:00

  • Efficacy of bimatoprost for the treatment of primary open-angle glaucoma: A protocol of systematic review and meta-analysis.

    abstract:BACKGROUND:Bimatoprost has been reported to treat primary open-angle glaucoma (POAG) effectively. However, up-to-date, no systematic review has specifically addressed the efficacy and safety of bimatoprost for the treatment of POAG. Therefore, this study will propose to appraise the efficacy and safety of bimatoprost f...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000020356

    authors: Liu HW,Lu YT,Ren YB,Meng Y

    更新日期:2020-06-05 00:00:00

  • Measurement of exhaled nitric oxide concentration in patients with obstructive sleep apnea: A meta-analysis.

    abstract:BACKGROUND:Exhaled nitric oxide (eNO) has been proposed as a noninvasive measure of airway inflammation. However, its value in patients with obstructive sleep apnea (OSA) is still controversial. The authors aim to assess the difference in eNO levels between patients with OSA and controls by a meta-analysis. METHODS:A ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000006429

    authors: Zhang D,Luo J,Qiao Y,Xiao Y,Huang R,Zhong X

    更新日期:2017-03-01 00:00:00

  • Miller-Fisher syndrome complicated by Bickerstaff brainstem encephalitis: A case report.

    abstract:RATIONALE:Bickerstaff brainstem encephalitis (BBE) and Miller-Fisher syndrome (MFS) might be a pedigree disease. Herein, we report a rare case that fits the diagnoses of both MFS and BBE. PATIENT CONCERNS:A 48-year-old woman was hospitalized due to blurred vision and unsteady gait lasting for 9 days, and numbness of t...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009824

    authors: Jing C,Wang Z,Chu C,Dong M,Lin W

    更新日期:2018-03-01 00:00:00

  • Acute portal vein thrombosis after hepatectomy in a patient with hepatolithiasis: A case report and review of the literature.

    abstract:RATIONALE:Portal vein thrombosis is defined as any thrombosis that develops in the portal vein system. It is considered a very rare and extremely lethal complication of hepatopancreatobiliary surgery. PATIENT CONCERNS:Acute portal vein thrombosis after hepatectomy in patients with hepatolithiasisis very rare. Acute po...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011174

    authors: Zhang ZY,Dong KS,Zhang EL,Huang ZY,Chen XP,Dong HH

    更新日期:2018-06-01 00:00:00