UMMS Affiliation
Center for Outcomes Research
Publication Date
2012-06-08
Document Type
Article
Subjects
Acute Disease; Anti-Inflammatory Agents, Non-Steroidal; Anticoagulants; Arabs; Aspirin; Critical Care; Female; Humans; Kuwait; Length of Stay; Male; Middle Aged; Platelet Aggregation Inhibitors; Prevalence; Risk; Saudi Arabia; United Arab Emirates; Venous Thromboembolism
Disciplines
Cardiovascular Diseases | Clinical Epidemiology | Epidemiology | Health Services Research | Survival Analysis | Vital and Health Statistics
Abstract
OBJECTIVES: To assess the prevalence of venous thromboembolism (VTE) risk in acutely ill surgical and medical patients in selected acute care centres in the Arabian Gulf States, and to determine the proportion of at-risk patients who received effective prophylaxis in accordance with 2004 American College of Chest Physicians (ACCP) guidelines.
MATERIALS AND METHODS: Eight hospitals from 3 countries (Kuwait, Kingdom of Saudi Arabia, and United Arab Emirates) contributed to the global ENDORSE (Epidemiological International Day for the Evaluation of Patients at Risk for Venous Thromboembolism in the Acute Hospital Care Setting) study. Medical records were reviewed for all the in-patients aged > / = 40 years admitted to medical wards, and in patients aged > / = 18 admitted to surgical wards. The VTE risk and recommended prophylaxis were assessed according to the 2004 ACCP guidelines.
RESULTS: Of 1,291 evaluable patients, 801 were considered at risk of VTE; 391 (48.8%) surgical patients and 410 (51.2%) medical patients. Of the 801 patients, 322 (40.2%) received ACCP-recommended VTE prophylaxis; 159 (40.7%) of surgical patients and 163 (39.8%) of medical patients.
CONCLUSIONS: The data showed that VTE prophylaxis was underutilized in high-risk hospitalized patients. We recommend that active measures should be implemented in acute care centres in these Arabian Gulf countries to ensure identification of patients at risk of VTE and institute the appropriate prophylaxis.
Keywords
Arabian Gulf, Thromboembolism, Prophylaxis, ENDORSE study, Kuwait, Saudi Arabia, United Arab Emirates
DOI of Published Version
10.1159/000339081
Source
Med Princ Pract. 2012;21(6):522-8. doi: 10.1159/000339081. Epub 2012 Jun 8. Link to article on publisher's site
Journal/Book/Conference Title
Medical principles and practice : international journal of the Kuwait University, Health Science Centre
Related Resources
PubMed ID
22688685
Repository Citation
Alsayegh, Faisal; Kamaliddin, Hassan; Sheshah, Eman; Bukhamseen, Nasir; Alkhuwaitir, Tarig; and Elhoufi, Ashraf, "Assessment of venous thromboembolism risk and adequacy of prophylaxis in selected acute care medical centres in Arabian Gulf States: results from the ENDORSE study" (2012). ENDORSE Publications. 16.
https://escholarship.umassmed.edu/cor_endorse/16
Creative Commons License
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Included in
Cardiovascular Diseases Commons, Clinical Epidemiology Commons, Epidemiology Commons, Health Services Research Commons, Survival Analysis Commons, Vital and Health Statistics Commons