Journal of General Internal Medicine

, Volume 17, Issue 10, pp 788–791

Pharmacological thromboembolic prophylaxis in a medical ward

Room for improvement
  • Drahomir Aujesky
  • Emmanuèle Guignard
  • André Pannatier
  • Jacques Cornuz
Brief Reports

DOI: 10.1046/j.1525-1497.2002.10903.x

Cite this article as:
Aujesky, D., Guignard, E., Pannatier, A. et al. J GEN INTERN MED (2002) 17: 788. doi:10.1046/j.1525-1497.2002.10903.x

Abstract

To evaluate the adequacy of pharmacological thromboembolic prevention in the medical ward of a university hospital, we performed a retrospective study in 227 consecutive inpatients. The presence of risk factors, and type, length, and dose of pharmacological prevention were documented by chart review. Only 22% of the 153 risk patients received adequate prevention, whereas 38% of the patients at low risk were given pharmacological prophylaxis. The high prevalence of over- and undertreatment is an indicator of less than optimal care. Quality of care interventions, such as the development of local guidelines, might improve the appropriateness of pharmacological thromboembolic prophylaxis in medical inpatients.

Key words

venous thromboembolism pharmacological prevention inpatients 

Copyright information

© Society of General Internal Medicine 2002

Authors and Affiliations

  • Drahomir Aujesky
    • 1
  • Emmanuèle Guignard
    • 2
  • André Pannatier
    • 2
  • Jacques Cornuz
    • 1
  1. 1.Received from the Department of Internal MedicineCentre Hospitalier Universitaire VaudoisLausanneSwitzerland
  2. 2.the Department of PharmacyCentre Hospitalier Universitaire VaudoisLausanneSwitzerland

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