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Acta médica Grupo Ángeles

versão impressa ISSN 1870-7203

Resumo

SAUCEDO MORENO, Eric Misael; DELGADO NAVA, Mariana  e  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 22-Mar-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.

Palavras-chave : Thromboprophylaxis; venous thromboembolism; surgery.

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