Læknablaðið - 15.06.2012, Page 22

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ENGLISH SUMMARY
Evaluation of thromboprophylactic therapy at Landspítali - The National
University Hospital of lceland; a cross-sectional study on acute wards
Kristjánsdottir HL1, Gudnadottir GS', Fjalldal SB', Thorarinsdottir HR2, Bjarnason A', Einarsson O'
Objective: Venous thromboembolic disease is a serious and often fatal
complication following hospital admission. Studies show that thrombop-
rophylactic therapy for this condition is often underutilized. The aim of
this study was to evaluate the performance of thromboprophylactic the-
rapy at Landspítali - The University Hospital of lceland in adult patients
admitted to acute wards.
Methods and materials: On 2 December 2009 hospital charts of
admitted patients on acute wards were reviewed and assessed for app-
ropriatethromboprophylactic treatment according to the 2008 guidelines
from The American College of Chest Physicians. The results were
compared to those of other countries from the multinational Endorse
study from 2008.
Results: 251. patient were included of whom 47% were considered at
risk for venous thromboembolic disease. Of those 57% received app-
ropriate thromboprophylactic treatment or 78% of surgical and 26% of
medical patients.
Conclusions: Adherence to clinical guidelines for thromboprophylactic
treatment at surgical wards of Landspítali - The National University
Hospital of lceland was good and well above the average compared to
the results of the Endorse study. Performance on the medical wards
was on the other hand below average. Our results show that application
of thromoboprophylactic treatment at Landspítali could be improved
and thereby enhance patient safety.
Key words: prophylactic treatment, venous thromboembolism, hospitalized patients.
Correspondence: Hallgerður Lind Kristjánsdóttir hallgerdur.lind@gmail.com
Departments of ’Medicine and 2Anasthesia and Intensive Care, Landspítali-University Hospital.
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