International Journal of Clinical Pharmacy

, Volume 39, Issue 4, pp 881–887 | Cite as

Evaluation of venous thromboembolism prophylaxis in a major hospital in a developing country

  • Lubna GharaibehEmail author
  • Hanan Sartawi
  • Diana Ayyad
  • Tareq Juma
  • Kamal Albassoumi
  • Enas Ismail
Research Article


Background Venous thromboembolism is the most common preventable cause of hospital death. Despite that, there is still a large gap between what we know about venous thromboembolism prophylaxis and what is happening in current practice. Objective To evaluate VTE prophylaxis in Al-Basheer hospital and assess the extent of agreement of physicians’ practice with the guidelines. Setting Al-Basheer governmental hospital in Jordan between January 2016 and June 2016. Method In this cross-sectional observational study, patients were randomly selected from medical and surgical wards. The need for venous thromboembolism prophylaxis was assessed according to the American College of Chest Physicians guideline (9th edition) for men and non-pregnant women, and the Royal College of Obstetricians and Gynecologists guidelines for pregnant women. Main outcome measure: rate of agreement of venous thromboembolism prophylaxis with the guidelines. Results The total number of patients was 1030, Patients in the medical wards constituted most of the participants. The rate of concordance with the guidelines was 718/1030 (69.7%) in the total number of patients When the patients were divided into groups: those that required venous thromboembolism prophylaxis and those that did not, the rate of agreement with guidelines in the subgroup that needed prophylaxis 160/456 (35.1%) was lower than the rate in the subgroup that did not need prophylaxis 558/574 (97.2%), p value <0.001. Conclusion venous thromboembolism prophylaxis in Al-Basheer hospital is not appropriate and underused, this might be attributed to the absence of an institutional guideline.


Anticoagulants Jordan Prophylaxis Risk assessment Venous thromboembolism 



The research team would like to thank medical teams in the different wards in Al Basheer hospital for their cooperation.


No funding was provided from any source for this research.

Conflicts of interest

The authors would like to declare that they have no conflicts of interest to disclose.


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Copyright information

© Springer International Publishing 2017

Authors and Affiliations

  • Lubna Gharaibeh
    • 1
    Email author
  • Hanan Sartawi
    • 2
  • Diana Ayyad
    • 2
  • Tareq Juma
    • 2
  • Kamal Albassoumi
    • 2
  • Enas Ismail
    • 2
  1. 1.Department of Clinical Pharmacy and Bio-pharmaceutics, School of PharmacyUniversity of JordanAmmanJordan
  2. 2.Pharmacy DepartmentAl-Basheer Government HospitalAmmanJordan

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