VENOUS THROMBOEMBOLISM RISK ASSESSMENT IN HOSPITALISED PATIENTS IN A TERTIARY CARE HOSPITAL IN PAKISTAN

Authors

  • Ajwad Farogh Shahida Islam Medical College, Lodhran-Pakistan
  • Noman Ullah Wazir Peshawar Medical College, Peshawar-Pakistan
  • Saima Mumtaz Federal Medical College Islamabad-Pakistan
  • Farzana Salman Peshawar Medical College, Peshawar-Pakistan
  • Ahsan Arif Shalamar Institute of Health Sciences, Lahore-Pakistan
  • Anam Umair Rawalpindi Institute of Cardiology, Rawalpindi-Pakistan

Keywords:

Venous thromboembolism, Risk Assessment

Abstract

Background: Venous thromboembolism (VTE) ranks as the third most common cause of vascular death following myocardial infarction and stroke. VTE is a prevalent illness, particularly in the elderly, and is linked to a high recurrence rate, substantial healthcare costs, and reduced survival rates. The Objective of the study was to investigate the impact of using the VTE risk assessment (VTE-RA) tool and thromboprophylaxis (TP) on all adult patients hospitalized. Methods: This study was conducted at a single centre using a prospective cross-sectional design to compare data before and after an intervention at a tertiary referral hospital in Pakistan from May 2019 to February 2020. All adult inpatients over the age of 18 were eligible for inclusion. Results: A total of 1,200 patients were screened in the study. The majority of these patients were medical 701(58.42%) and 499(41.58%) were surgical. The mean age of patients was 59.02±1.40 years. The male patients were 690(57.55%) as compared with females were 510 (42.5%). The average stay in hospital was 8.01±1.11 days. At that time, there was no official RA instrument implemented. Researchers documented any written proof of RA in patients' medical records as "RA completed." 190(15.83%) out of all charts evaluated had a recorded VTE risk assessment. TP was prescribed to 450(37.5%) patients, which accounts for of the total. Risk factors for VTE in high-risk patients. Conclusion: VTE risk assessment, prescribing adequate thromboprophylaxis, and integrating it into practice is challenging. The majority of hospitalized patients investigated were at a high risk of having venous thromboembolism (VTE). The most prevalent risk factor for developing VTE is old age, however, only few hospitalized patients were actually given thromboprophylaxis.

Author Biographies

Ajwad Farogh, Shahida Islam Medical College, Lodhran-Pakistan

Associate Professor

Noman Ullah Wazir, Peshawar Medical College, Peshawar-Pakistan

 

Saima Mumtaz, Federal Medical College Islamabad-Pakistan

 

Farzana Salman, Peshawar Medical College, Peshawar-Pakistan

 

Ahsan Arif , Shalamar Institute of Health Sciences, Lahore-Pakistan

 

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Published

2024-06-02

Issue

Vol. 36 No. 2 (2024): JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD

Section

ORIGINAL ARTICLE

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Copyright (c) 2024 Ajwad Farogh, Noman Ullah Wazir, Saima Mumtaz, Farzana Salman, Ahsan Arif , Anam Umair

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