凝块在这里停止:对静脉血栓栓塞的洞察力 预防 两例病例的坚持
Anthony T Nguyen1, Alexandra M Glaeser1
1Internal Medicine, University of California Los Angeles, Los Angeles, USA.
Cureus
|November 19, 2024
概括
药物治疗静脉血栓塞栓症 (VTE) 预防对于住院患者至关重要. 坚持挑战和患者拒绝可以导致严重的并发症,突出需要标准化的协议和患者教育.
科学领域:
- 医学科学 医学科学 医学科学
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 在高风险住院患者中,药理性静脉血栓栓塞 (VTE) 预防对于预防深静脉血栓塞 (DVTs) 和肺栓塞 (PE) 至关重要.
- 确保医疗团队和机构之间一致遵守VTE预防方案仍然是一个挑战.
- 患者拒绝静脉瘤预防是影响其有效性的重要因素.
研究的目的:
- 突出与拒绝在医疗机构中进行静脉瘤预防相关的风险.
- 提出一个标准化,多学科的协议,以改善VTE预防的遵守.
- 强调患者教育和医生关于VTE预防的文档的重要性.
主要方法:
- 这项研究介绍了两名患者的病例系列,他们在拒绝预防后发展出与医疗保健相关的VTE.
- 进行了关于VTE预防的现行实践和文献的审查.
- 关于标准化协议的建议包括VTE风险评估工具,如帕多瓦和卡普里尼分数.
主要成果:
- 两例与医疗保健相关的VTE发生在几天的预防性拒绝后,导致显著的发病率和死亡率.
- 医疗保健相关的VTE是一个更广泛的公共卫生问题.
- 在高风险患者中,医生承认,咨询和每日记录VTE预防拒绝是必不可少的.
结论:
- 一个标准化,多学科的协议是必要的,以确保VTE预防的遵守.
- 医生必须通过患者咨询和文档来积极管理VTE预防的拒绝.
- 加强对VTE风险的患者教育对于改善坚持和结果至关重要.
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