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IJHSR. 2016; 6(5): 39-46


Prospective Observational Study of Compliance to Venous-Thromboembolism Prophylaxis Guidelines as per the American College of Chest Physicians (ACCP) in Post-Operative Patients in a Tertiary Care Centre.

Suchin Dhamnaskar, Umang Trivedi, Prashant Sawarkar, Varsha Kulkarni.

Abstract
Venous thromboembolism (VTE) results in significant morbidity and mortality in post-operative patients. From various studies it is proven that prophylaxis for venous thromboembolism is preferred and effective in post-operative patients and American College of Chest Physicians (ACCP) has published evidence based guidelines for VTE prophylaxis. In this study compliance to these guidelines was studied in post-operative patients in a tertiary care centre. 500 postoperative cases were prospectively observed, risk stratification done according to Caprini Score and compliance was determined. Overall compliance to ACCP guidelines was low, only 19.8% patients. So there is need of proper identification of risk factors and aggressive implementation of ACCP guidelines for VTE prophylaxis in post-operative patients for effective control of burden of VTE including pulmonary embolism.

Key words: Compliance, Post-operative, Prophylaxis, Pulmonary embolism, venous thromboembolism.



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