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Malaysian orthopaedic surgeons' approach to venous thromboembolic disease prophylaxis: attitudes and practice

Z F Zairul-Nizam1, Y A Gul

  • 1Orthopaedic Unit, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Hospital Kuala Lumpur, Jalan Masjid, 50586 Kuala Lumpur, Malaysia. znizam@medic.upm.edu.my

Journal of Orthopaedic Surgery (Hong Kong)
|December 17, 2003
PubMed
Abstract

Insights

Malaysian orthopaedic surgeons have varying awareness of venous thromboembolic disease risks. While most use prophylaxis selectively, citing bleeding risks, enhanced education and protocol review are needed.

Area of Science:

  • Orthopaedic Surgery
  • Vascular Medicine
  • Public Health

Background:

  • Venous thromboembolic disease (VTE) is a significant concern in surgical patients.
  • Understanding current prophylaxis practices is crucial for patient safety.

Purpose of the Study:

  • To assess Malaysian orthopaedic surgeons' perceptions and usage of VTE prophylaxis.
  • To identify barriers and facilitators to VTE prophylaxis in Malaysia.

Main Methods:

  • A questionnaire-based survey was distributed to 144 orthopaedic surgeons.
  • Participants represented diverse governmental and private healthcare institutions in Malaysia.

Main Results:

  • Over half of surgeons underestimated VTE prevalence in Malaysia compared to Western countries.
  • 91% selectively used prophylaxis based on risk factors; bleeding was the primary concern.
  • Low-molecular-weight heparin was the most frequent pharmacological agent; prophylaxis continued until patient mobility.

Conclusions:

  • Increased surgeon awareness regarding VTE is necessary in Malaysia.
  • Current VTE prophylaxis practices require review and updated recommendations.

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