title: Evaluation of the use of venous thromboembolism prophylaxis in hospitalised medical patients.
abstract: BACKGROUND
  Venous thromboembolism (VTE) prophylaxis is effective in the prevention of deep vein thrombosis (DVT) and pulmonary embolism (PE) in medical patients.
  
  
  METHODS
  A retrospective chart review was performed on medical inpatients at two academic hospitals in Hamilton, Ontario to investigate if patients received VTE prophylaxis as per current guidelines.
  
  
  RESULTS
  An analysis was performed on 762 patient charts and 170 met inclusion criteria for use of pharmacological VTE prophylaxis. Of these, 91 (54%) received pharmacological VTE prophylaxis. In 63 patients with a contraindication to pharmacological VTE prophylaxis, 16 (25%) received non-pharmacological VTE prophylaxis.
  
  
  CONCLUSIONS
  The provision rate of pharmacological VTE prophylaxis in hospitalised medical patients who met pre-defined clinical criteria for prophylaxis was 54%. The rate of prophylaxis increased with additional VTE risk factors to a peak rate of 67%. There is room for the development of strategies to improve the use of VTE prophylaxis in hospitalised medical patients.
authors.affiliation: Department of Medicine, McMaster University Medical Center, Hamilton, Ontario, Canada. mohamed.panju@medportal.ca
authors.forename: M
authors.initials: M
authors.lastname: Panju
authors.forename: D
authors.initials: D
authors.lastname: Raso
authors.forename: A
authors.initials: A
authors.lastname: Patel
authors.forename: A
authors.initials: A
authors.lastname: Panju
authors.forename: J
authors.initials: J
authors.lastname: Ginsberg
mesh_terms: D000328:Adult; D000368:Aged; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D019983:Guideline Adherence; D006760:Hospitalization; D006784:Hospitals, Teaching; D006801:Humans; D007297:Inpatients; D008875:Middle Aged; D009864:Ontario; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011315:Preventive Medicine / Q000379:methods*; D011361:Professional Competence; D011655:Pulmonary Embolism / Q000209:etiology / Q000517:prevention & control; D012307:Risk Factors; D054556:Venous Thromboembolism / Q000150:complications / Q000517:prevention & control*; D020246:Venous Thrombosis / Q000209:etiology / Q000517:prevention & control; D055815:Young Adult
chemical_list: D005343:Fibrinolytic Agents