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Acta médica Grupo Ángeles
Print version ISSN 1870-7203
Abstract
SAUCEDO MORENO, Eric Misael; DELGADO NAVA, Mariana and CARVALLO MAIOCCO, Piero. Improper use of tromboprofilaxis in post-surgical patients in general surgery. Acta méd. Grupo Ángeles [online]. 2020, vol.18, n.1, pp.23-27. Epub Mar 22, 2022. ISSN 1870-7203. https://doi.org/10.35366/91996.
Background:
A patient undergoing a surgical procedure has a 20% higher risk for VTE and the risk increases by 30% when there is an absence of optimal prophylaxis.
Material and methods:
Retrospective, transversal, descriptive study in a period of 2016-2017. Caprini Score was applied. The thromboprophylactic therapy administered to each patient was analyzed and compared with this guideline to estimate compliance.
Results:
A total of 100 patients. The number of patients at low, moderate, high and very high risk, according to the Caprini score, was 2, 15, 31 and 52%, respectively. It was divided into two groups, adequate prophylaxis (58%) and inadequate prophylaxis (42%), 88% of these patients with very high risk of thrombosis, did not present adequate anticoagulation, at the end 16% patients had DVT with significant difference p ≤ 0.000.
Conclusions:
The study triumphed in the estimation of the prevalence of episodes of deep vein thrombosis due to a deficiency in the antithrombotic prophylaxis, although it did not represent an increase in the mortality, if an increase in the postoperative morbidity is observed.
Keywords : Thromboprophylaxis; venous thromboembolism; surgery.