静脉血栓塞栓症预防在后急性护理单位:健康记录审查
Pil Joo1,2, Kathleen Qu3, Jacob Stasso3
1Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Research and practice in thrombosis and haemostasis
|March 9, 2026
概括
静脉血栓塞栓症预防 (VTEp) 经常用于过渡性护理单位 (TCU). 然而,本研究中的低事件率限制了对VTEp的最终结论.
科学领域:
- 血管医学 血管医学
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
背景情况:
- 静脉血栓塞栓症 (VTE),包括深静脉血栓症 (DVT) 和肺栓塞 (PE),是死亡的一个重要原因.
- 对于急性护理,已有确立的VTE预防 (VTEp) 协议,但它们在急性护理后的疗效,如过渡护理单位 (TCU) 尚未明确.
研究的目的:
- 评估在三级医院的TCU内使用VTEp的情况.
- 评估与TCU人群中VTEp相关的血栓和出血结局.
主要方法:
- 对入院TCU的患者电子健康记录的回顾性审查.
- 纳入标准:2021年3月至2022年3月期间入院的患者,不包括因其他原因接受治疗抗凝剂或重复入院的患者.
- 描述性分析和后勤回归来探索VTEp与结果之间的关联.
主要成果:
- 在1218名患者中,有72%的患者在整个TCU逗留期间接受了VTEp,主要是埃诺沙巴林或未分离的肝素.
- 接受VTEp的患者最近的手术或活跃癌症的发生率更高.
- 静脉突发症 (PE 0.8%,DVT 0.9%) 和出血并发症 (内出血0.4%,肠道出血0.9%) 的发生率较低,在VTEp和非VTEp组之间很相似.
结论:
- VTEp通常在TCU中使用,通常在停留期间使用.
- 在这个队列中,VTE和出血事件的发病率很低,这限制了在TCU中确定VTEp最佳风险益处概况的能力.
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