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- Title
Postoperative Venous Thromboembolism Prophylaxis by General Surgeons in a Developing Country: A Survey.
- Authors
Venkataram, Aniketh; Santhosh, Shivashankar; Dinakar, Deevish; Siddappa, Shivananda; Babu, Rajashekara; Shivaswamy, Sadashivaiah
- Abstract
Venous thromboembolism (VTE) is the most common preventable cause of hospital death. Several audits in the west have demonstrated that appropriate thromboprophylaxis is not being offered to a large number of surgical patients. Similar audits are lacking in the Indian population, and a perception exists among Indian surgeons that Indian patients are not susceptible to VTE. Hence we under took a survey to analyze the existingknowledge and practice ofVTE prophylaxis amongst general surgeons in India. A questionnaire-based survey was conducted on 100 active general surgeons. We found that 97% of surgeons had encountered VTE in their practice, and 49% had encountered mortality from pulmonary embolism. 64% of surgeons do not routinely score patients preoperatively for their VTE risk, and only 33% reported the presence of an institute-based protocol for the same.There was a wide disparity in the prophylaxis methods used for each risk group, particularly in the moderate-risk group. These findings suggest the need for adoption of institute-based protocols for prophylaxis and the evolution of Indian guidelines for VTE prophylaxis.
- Subjects
VENOUS thrombosis; SURGEONS; SURGICAL complications; MEDICAL protocols; DEVELOPING countries; PULMONARY embolism; POSTOPERATIVE period
- Publication
Thrombosis, 2013, p1
- ISSN
2090-1488
- Publication type
Article
- DOI
10.1155/2013/873750