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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | ALCKMIN, Carolina Alves Vono | - |
dc.contributor.author | GARCIA, Mariana Dionisia | - |
dc.contributor.author | BRICOLA, Solange Aparecida Petilo de Carvalho | - |
dc.contributor.author | MARTINS, Milton de Arruda | - |
dc.contributor.author | LICHTENSTEIN, Arnaldo | - |
dc.contributor.author | PAIVA, Edison Ferreira de | - |
dc.date.accessioned | 2014-04-25T21:50:16Z | - |
dc.date.available | 2014-04-25T21:50:16Z | - |
dc.date.issued | 2013 | - |
dc.identifier.citation | CLINICS, v.68, n.11, p.1416-1420, 2013 | - |
dc.identifier.issn | 1807-5932 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/5068 | - |
dc.description.abstract | OBJECTIVE: Cross-sectional studies have been conducted to evaluate the adequacy of prophylaxis for venous thromboembolism. However, these studies often evaluate prophylaxis on the data collection day, without analysing the prophylactic dose or duration and without reference to inappropriate use in patients without risk. A prospective, observational study was performed to assess the adequacy of prophylaxis in a general medicine ward of a university hospital. METHOD: In the analysis, the use of the proper prophylactic dose at the correct time, the use in patients with contraindications, and the misuse in patients without risk of venous thromboembolism were considered. RESULTS: A total of 245 patients were evaluated. Of these patients, 104 (42.4%) were considered to be at risk, and 82.7% either received adequate prophylaxis (i.e., the correct dose at the right time) or did not receive prophylaxis because it was contraindicated. Among the 141 patients who were not at risk, 81 (57.4%) incorrectly received prophylaxis, the majority (61/81) of whom presented with risk factors but did not demonstrate reduced mobility. Among the entire group, only 59.6% of patients were properly treated. CONCLUSIONS: The evaluation of prophylaxis adequacy should consider not only whether the correct dose is administered at the correct time but also whether it is used in patients with contraindications and whether it is inappropriately administered to patients who are not at risk. | - |
dc.language.iso | eng | - |
dc.publisher | HOSPITAL CLINICAS, UNIV SAO PAULO | - |
dc.relation.ispartof | Clinics | - |
dc.rights | openAccess | - |
dc.subject | Deep Vein Thrombosis | - |
dc.subject | Guidelines | - |
dc.subject | Inpatients | - |
dc.subject | Pulmonary Embolism | - |
dc.subject.other | placebo-controlled trial | - |
dc.subject.other | ill medical patients | - |
dc.subject.other | prophylaxis | - |
dc.subject.other | prevention | - |
dc.title | Venous thromboembolism risk assessment in hospitalised patients: A new proposal | - |
dc.type | article | - |
dc.rights.holder | Copyright HOSPITAL CLINICAS, UNIV SAO PAULO | - |
dc.identifier.doi | 10.6061/clinics/2013(11)06 | - |
dc.identifier.pmid | 24270953 | - |
dc.subject.wos | Medicine, General & Internal | - |
dc.type.category | original article | - |
dc.type.version | publishedVersion | - |
hcfmusp.author.external | ALCKMIN, Carolina Alves Vono:Univ Prebiteriana Mackenzie, Dept Pharm, Sao Paulo, Brazil | - |
hcfmusp.description.beginpage | 1416 | - |
hcfmusp.description.endpage | 1420 | - |
hcfmusp.description.issue | 11 | - |
hcfmusp.description.volume | 68 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | 2-s2.0-84887549437 | - |
hcfmusp.origem.id | WOS:000329984600006 | - |
hcfmusp.origem.id | SCIELO:S1807-59322013001101416 | - |
hcfmusp.publisher.city | SAO PAULO | - |
hcfmusp.publisher.country | BRAZIL | - |
hcfmusp.relation.reference | Cohen AT, 2008, LANCET, V371, P387, DOI 10.1016/S0140-6736(08)60202-0 | - |
hcfmusp.relation.reference | Cohen AT, 2006, BRIT MED J, V332, P325, DOI 10.1136/bmj.38733.466748.7C | - |
hcfmusp.relation.reference | Geerts WH, 2008, CHEST, V133, p381S, DOI 10.1378/chest.08-0656 | - |
hcfmusp.relation.reference | Goldhaber SZ, 2007, AM J HEMATOL, V82, P775, DOI 10.1002/ajh.20997 | - |
hcfmusp.relation.reference | Hull RD, 2010, ANN INTERN MED, V153, P8, DOI 10.7326/0003-4819-153-1-201007060-00004 | - |
hcfmusp.relation.reference | Kahn SR, 2012, CHEST, V141, pE195S, DOI 10.1378/chest.11-2296 | - |
hcfmusp.relation.reference | Leizorovicz A, 2004, CIRCULATION, V110, P874, DOI 10.1161/01.CIR.0000138928.83266.24 | - |
hcfmusp.relation.reference | Levine RL, 2007, J HOSP MED, V2, P79, DOI 10.1002/jhm.171 | - |
hcfmusp.relation.reference | Lussana F, 2007, SEMIN THROMB HEMOST, V33, P582, DOI 10.1055/s-2007-985754 | - |
hcfmusp.relation.reference | Middeldorp S, 2011, J THROMB THROMBOLYS, V31, P275, DOI 10.1007/s11239-011-0572-y | - |
hcfmusp.relation.reference | National Institute for Health and Clinical Excellence, 2007, VEN THROMB RED RISK | - |
hcfmusp.relation.reference | Paiva EF, 2009, ACTA MEDICA PORT, V22, P21 | - |
hcfmusp.relation.reference | Rashid ST, 2005, J ROY SOC MED, V98, P507, DOI 10.1258/jrsm.98.11.507 | - |
hcfmusp.relation.reference | Rocha Ana T, 2007, Vasc Health Risk Manag, V3, P533 | - |
hcfmusp.relation.reference | Rocha Ana Thereza C, 2006, Rev Assoc Med Bras, V52, P441, DOI 10.1590/S0104-42302006000600026 | - |
hcfmusp.relation.reference | Samama MM, 1999, NEW ENGL J MED, V341, P793, DOI 10.1056/NEJM199909093411103 | - |
hcfmusp.relation.reference | Spyropoulos AC, 2009, AM J MED, V122, P1077, DOI 10.1016/j.amjmed.2009.04.027 | - |
hcfmusp.relation.reference | Tapson VF, 2007, CHEST, V132, P936, DOI 10.1378/chest.06-2993 | - |
dc.description.index | MEDLINE | - |
dc.identifier.eissn | 1980-5322 | - |
hcfmusp.citation.scopus | 2 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MCM Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/20 Artigos e Materiais de Revistas Científicas - ODS/03 |
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art_GARCIA_Venous_thromboembolism_risk_assessment_in_hospitalised_patients_A_2013.PDF | publishedVersion (English) | 272.54 kB | Adobe PDF | View/Open |
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