Abstract
Each year venous thromboembolism (VTE) causes up to 60,000 deaths in the UK, many resulting from hospital-acquired thromboses following elective surgery. National Institute for Health and Clinical Excellence (NICE) guidelines state that all elective surgical patients should receive verbal and written information pre-operatively regarding the risks of developing VTE. This audit assessed elective surgical patient’s prior awareness of VTE and examined how effective targeted patient education during the pre-operative assessment is in increasing this awareness. A 13 point questionnaire designed to assess a pre-operative patient’s understanding of topics relating to VTE was provided to consecutive patients identified as being at risk of developing VTE at the end of their pre-operative assessment over a two-week period. A total of 68 questionnaires were completed. Provision of verbal and written information was poor (47 %, n = 32 and 47 %, n = 32 respectively). Despite this, 71 % (n = 48) of patients were aware of the consequences of developing VTE. Many patients correctly identified surgery (71 %, n = 48), immobility (71 %, n = 48) and being overweight (68 %, n = 46) as risk factors, but not dehydration (47 %, n = 32). Lack of awareness regarding personal methods to reduce the risk of developing a VTE post-operatively (24 %, n = 16) and potential side-effects of medical prophylaxis (32 %, n = 22) were also identified. Many patients already possess an awareness of VTE, however, specific knowledge regarding its risk factors and methods of prevention is lacking. Provision of targeted written and verbal educational information during the pre-operative assessment is an effective method of increasing a patient’s awareness of these topics. Increased patient awareness may empower patients in their post-operative recovery and enable them to make more informed decisions regarding VTE prophylaxis options.
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Abbreviations
- VTE:
-
Venous thromboembolism
- DVT:
-
Deep vein thrombosis
- PE:
-
Pulmonary embolism
- MRSA:
-
Methicillin resistant Staphylococcus aureus
- CG92:
-
Clinical guideline 92
- NICE:
-
National Institute for Health and Clinical Excellence
- CCG-OIS:
-
Clinical commissioning groups outcomes indicator set
- CQC:
-
Care quality commission
- CQUIN:
-
Commissioning for quality and innovation
References
Haymes A (2015) Venous thromboembolism: patient awareness in pre-operative assessment clinic. Br J Surg 102(S1):275
House of Commons Health Committee (2005) The prevention of venous thromboembolism in hospitalised patients. House of Commons, London
Cohen AT, Kakkar AK (2005) Venous thromboembolic disease in cancer patients in Europe—an opportunity for improved prevention: the VITAE thrombosis study. Eur J Cancer 3(suppl 2):155
Fitzmaurice DA, Murray E (2007) Thromboprophylaxis for adults in hospital. BMJ 334:1017–1018
Network Scottish Intercollegiate Guidelines (2010) Prevention and management of venous thromboembolism. SIGN, Edinburgh
National Institute for Clinical Excellence (2007) Venous thromboembolism: reducing the risk of thromboembolism (deep vein thrombosis and pulmonary embolism) in inpatients undergoing surgery. NICE, London
All-Party Parliamentary Thrombosis Group (2012) APPTG annual survey results 2012—national overview. APPTG, London
National Collaborating Centre for Acute Care (2007) Venous thromboembolism: reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in inpatients undergoing surgery: methods, evidence and guidance. National Collaborating Centre for Acute Care, London
Torbicki A, van Beek EJR, Charbonnier B et al (2000) Task force report: guidelines on the diagnosis and management of acute pulmonaryembolism. Eur Heart J 21:1301
Association American Public Health (2002) DVT omnibus survey 2002. APHA, Washington, DC
Lubenow N, Hinz P, Ekkernkamp A et al (2007) Should patients be informed about the risk of heparin induced thrombocytopaenia before prolonged low-molecular weight heparin thromboprophylaxis post trauma/orthopaedic surgery? Eur J Haematol 79:187–190
Croydon Health Services NHS Trust. Statement of purpose. http://www.croydonhealthservices.nhs.uk/downloads/Corporate_Information/Croydon%20Health%20Services%20-%20Statement%20of%20Purpose.pdf. Accessed 9 Nov 2013
Croydon Health Services NSHS Trust. Annual review 2013–2014. http://www.croydonhealthservices.nhs.uk/Downloads/Annual%20Reports/Croydon%20Health%20Services%20Annual%20Review%202013-14.pdf. Accessed 25 April 2015
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Haymes, A. Venous thromboembolism: patient awareness and education in the pre-operative assessment clinic. J Thromb Thrombolysis 41, 459–463 (2016). https://doi.org/10.1007/s11239-015-1224-4
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DOI: https://doi.org/10.1007/s11239-015-1224-4