与患者风险概况相关的静脉血栓塞栓预防的使用 (TUNE IN) 波3研究
J Bassett1, E Schapkaitz2, B Jacobson2
1Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
|December 11, 2025
概括
尽管有指导方针,但南非医院对静脉血栓塞栓症 (VTE) 预防的使用不足. 这项研究突出了推的VTE护理与实际实践之间的差距,强调需要更好的风险评估工具.
科学领域:
- 医学研究 医学研究
- 临床实践指南 临床实践指南
- 患者安全 患者安全
背景情况:
- 血栓预防显著降低静脉血栓塞栓症 (VTE) 的风险在住院患者.
- 全球和南非对静脉瘤预防的实施仍然很低.
研究的目的:
- 评估在住院医疗,外科和骨科患者中使用VTE血栓预防的可能性.
- 通过IMPROVE和Caprini等既有工具来评估风险分层.
主要方法:
- 一项前性,横截面研究,涉及451名成年患者,持续9个月.
- 使用IMPROVE出血风险和Caprini VTE风险工具进行风险评估.
- 从医院记录收集有关静脉瘤预防,药物和剂量的数据.
主要成果:
- 只有58%的患者接受了VTE血栓预防治疗,52%的患者按照指南接受了充分的预防治疗.
- 低分子量肝素是最常用的药物.
- 尽管Caprini (75%) 发现了高VTE风险,但推的预防仅在68%的医疗,59%的外科,59%的骨科高风险患者中进行.
结论:
- 基于证据的VTE预防建议与临床实践之间存在重大差异.
- 建议实施机构VTE风险评估工具,以标准化评估和改善预防管理.
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