Frequency of prophylaxia for venous tromboembolism in the FHGCV

Abstract

Objective: To identify the frequency of the use of prophylaxis for deep venous thrombosis and to compare the use of prophylaxis for DVT in the Medical and Surgical Clinic of the FHCGV. Method: Cross-sectional and descriptive study, in the period from October to October 2016, involving 38 patients, 29 clinical and 9 surgical. Data were collected from medical records and prescriptions. Patients were stratified according to the risk of venous thromboembolism (using Kucher’s modified Padua score for clinical patients and the Caprini score for surgical patients). We defined the presence of adequate or inadequate prophylaxis for VTE following the international recommendations of the American College of Chest Physicians. Results: A frequency of prophylaxis for VTE was found to be 100%, since all patients were receiving some form of prophylaxis, medication and/or non-medication. However, when analyzing the suitability of the prophylaxis according to the risk group and the recommendations for prophylaxis, we found that 5 patients (55.56%) had adequate prophylaxis in the surgical group, and 4 patients (44.44%) had adequate prophylaxis, Inadequate. In the clinical group, it was observed that 14 patients (48.28%) presented adequate prophylaxis and 15 (51.72%), inadequate. There was no significant trend between groups (p> 0.05). Conclusion: It was possible to observe that among the patients analyzed, none of them did not receive prophylaxis for VTE; however, when stratifying the risks, it was noted that the patients in the medium and low risk groups were those who most frequently received inadequate prophylaxis, whereas among the patients High risk were those who received adequate prophylaxis more frequently. We could conclude that it is very important to establish protocols based on the profile of the institution, thus improving patient care.