Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Egyptian Chinese University | OTHER |
| Teachers Hospital | UNKNOWN |
Not provided
Not provided
Not provided
Hospitalized patients are at high risk of venous thromboembolism (VTE), and the appropriate use of thromboprophylaxis can significantly reduce the incidence of VTE in high-risk patients. We investigated the pattern of VTE prophylaxis administration among elderly medical patients and assessed its appropriateness based on the American College of Chest Physicians (ACCP) recommendations. Methods A cross-sectional single-center study will be conducted between July 2024 and December 2024, including hospitalized (> 48 h), (≥ 60 years), medical and surgical patients, and excluding patients receiving anticoagulant for other reason, having contraindication to thromboprophylaxis, or had VTE diagnosed within 48 h. The Padua and caprine prediction scores will be used to determine the patients' risk for VTE, and thromboprophylaxis use will be assessed against the ACCP recommendations.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Medical Patients |
| ||
| Surgical Patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DVT prophyllaxis | Other | VTE prophylaxis administration among patients based on the American College of Chest Physicians (ACCP) recommendations |
|
| Measure | Description | Time Frame |
|---|---|---|
| Padua score for medical patients | Venous thromboembolism Risk assessment (Scores 0-3 are low risk and do not warrant prophylaxis. Scores ≥4 are high risk for VTE and subsequent complications; recommendation for thromboprophylaxis.) | within 24 hours of ICU admission |
| Caprini score for surgical patients | Venous thromboembolism Risk assessment (Total score of 0-1: Low risk of VTE Total score of ≥3: High/moderate risk of VTE ) | within 24 hours of ICU admission |
| Measure | Description | Time Frame |
|---|---|---|
| Bleeding risk assessment | within 24 hours of ICU admission | |
| Direct Anticoagulant cost | sum of costs related to the anticoagulant administration for DVT Prophylaxis | within 24 hours of ICU admission till ICU discharge(at least 48 hours) |
Not provided
Inclusion Criteria:
Patient records
Exclusion Criteria:
Not provided
Not provided
Not provided
Patient records admitted to the ICU with medical or surgical causes treated with anticoagulants for DVT prophylaxis will be collected Patients already on anticoagulant therapy, had history of previous DVT, had End-stage liver disease, admitted with hemorrhage/bleeding or not prescribed DVT prophylaxis will be excluded.
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Teachers Hospital | Cairo | Cairo Governorate | 4270020 | Egypt |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Adverse drug reaction cost | sum of costs related to the Adverse drug reaction for DVT Prophylaxis | within 24 hours of ICU admission till ICU discharge (at least 48 hours) |