title: A survey to establish current methods of venous thromboembolism prophylaxis in stroke patients practiced by Polish neurologists.
abstract: BACKGROUND
  Venous thromboembolism (VTE) is associated with considerable morbidity and mortality in stroke patients. The purpose of our survey was to establish the current methods of VTE prophylaxis practiced by Polish neurologists. We also aimed to determine whether there is enough variation in practice to justify the development of an evidence-based guideline for VTE prevention.
  
  
  METHODS
  Postal self-administered questionnaires about VTE prophylactic methods practiced by Polish neurologists were sent to 218 neurological wards where stroke is treated. If no response was received, the questionnaire was faxed and finally we attempted to obtain information by telephone.
  
  
  RESULTS
  One hundred and seventy-six (80.7%) stroke centers of 218 responded. The majority (137/176; 77.8%) of centers had a stroke unit. The median admission rate of surveyed wards was estimated to be 320 patients/year (range from 20 to 1000 patients/year). The most common method of VTE prophylaxis reported was low molecular weight heparin (LMWH) (98.9%), and the least common was intermittent pneumatic compression (IPC) (6.8%). Centers admitting ≥ 200 patients/year (70.7% vs. 45%; p = 0.039), and those with stroke units (95 vs. 20; p = 0.031) were more willing to join a randomized trial evaluating any of the methods. All the centers participating in the survey reported a need for a detailed VTE prophylaxis guidelines.
  
  
  CONCLUSIONS
  The LMWH is the predominant VTE prophylaxis strategy for stroke patients practiced by Polish neurologists. Due to the variation of methods used in VTE prophylaxis it might be reasonable to further specify this section of stroke treatment guidelines.
authors.affiliation: 2 Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland.
authors.forename: Jan Paweł
authors.initials: JP
authors.lastname: Bembenek
authors.affiliation: Division of Clinical Neurosciences, Western General Hospital, Edinburgh, Scotland.
authors.forename: Martin
authors.initials: M
authors.lastname: Dennis
authors.affiliation: 2 Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland ; Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Warsaw, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Czlonkowska
keywords: deep venous thrombosis; prophylaxis; pulmonary embolism; stroke; survey; venous thromboembolism
references.citation: Arch Phys Med Rehabil. 1992 Aug;73(8):712-6
references.pmid: 1642519
references.citation: J Neurol Neurosurg Psychiatry. 2011 Oct;82(10):1067-73
references.pmid: 21357988
references.citation: Ann Intern Med. 2011 Nov 01;155(9):625-32
references.pmid: 22041951
references.citation: Eur J Neurol. 2007 Jan;14(1):21-32
references.pmid: 17222109
references.citation: Cerebrovasc Dis. 2009;28(4):378-83
references.pmid: 19641313
references.citation: Cochrane Database Syst Rev. 2010 Aug 04;(8):CD001922
references.pmid: 20687069
references.citation: Thromb Res. 2011 Dec;128(6):587-9
references.pmid: 21872300
references.citation: Trials. 2012 Mar 08;13:26
references.pmid: 22400901
references.citation: Lancet. 2009 Jun 6;373(9679):1958-65
references.pmid: 19477503
references.citation: Chest. 2008 Jun;133(6 Suppl):381S-453S
references.pmid: 18574271
references.citation: Cochrane Database Syst Rev. 2002;(4):CD000103
references.pmid: 12519536
references.citation: Ann Intern Med. 2010 Nov 2;153(9):553-62
references.pmid: 20855784
references.citation: Chest. 2012 Feb;141(2 Suppl):e601S-e636S
references.pmid: 22315273
references.citation: Cerebrovasc Dis. 2008;25(5):457-507
references.pmid: 18477843
references.citation: Arch Intern Med. 1994 Jan 10;154(1):67-72
references.pmid: 8267491
references.citation: Cerebrovasc Dis. 2011;32(3):298-300
references.pmid: 21912111
references.citation: J Clin Epidemiol. 1999 Oct;52(10):997-1005
references.pmid: 10513763
references.citation: Stroke. 2012 Sep;43(9):2389-94
references.pmid: 22700533
references.citation: QJM. 2004 May;97(5):293-6
references.pmid: 15100423
references.citation: J Clin Epidemiol. 1997 Oct;50(10):1129-36
references.pmid: 9368521