为优化接受外科手术的患者预防术后静脉血栓栓塞的最佳实践:质量改进项目
Cameron Gerhold1, Liam T McLoughlin2, Brady Culpepper3
1Orthopedic Surgery, Florida State University College of Medicine, Tallahassee, USA.
Cureus
|September 2, 2024
概括
静脉血栓塞栓症 (VTE) 预防常常被滥用. 这项研究发现,虽然大多数手术患者根据卡普里尼风险得分接受了适当的VTE预防,但有些人没有,这凸显了需要一致的风险分层.
科学领域:
- 医学研究 医学研究
- 临床结果 临床结果
- 患者安全 患者安全
背景情况:
- 静脉血栓塞栓症 (VTE) 具有显著的,潜在的致命风险.
- 不充分使用静脉瘤预防 (化学和机械) 是一个有记录的担忧.
- 卡普里尼风险评分是进行手术前静脉瘤风险评估的验证工具.
研究的目的:
- 评估术后患者静脉瘤风险分层的准确性.
- 确定是否进行了适当的静脉瘤预防术术后.
- 评估卡普里尼风险评分在临床实践中的使用情况.
主要方法:
- 在手术患者中对23例VTE病例的回顾性分析 (2021年4月至2022年3月).
- 数据收集包括患者的人口统计和医疗信息.
- 个别卡普里尼风险评分的计算和管理的VTE预防的审查.
主要成果:
- 在23例VTE病例中,17例与住院和手术有关.
- 76% (13/17) 的这些患者接受了适当的外科手术后化学深静脉血栓症 (DVT) 预防.
- 24% (4/17) 的患者接受了不充分的外科手术后化学DVT预防.
结论:
- 持续使用VTE风险分层工具,如卡普里尼得分,对于预防术后VTE至关重要.
- 提高电子医疗记录中的风险评估工具的可见性和可访问性可以提高利用率.
- 加强对VTE预防指南的遵守可以减少栓塞事件.
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