Objective: To assess the appropriateness of venous thromboembolism prophylaxis in hospitalized medical patients, and to measure incidence of venous thromboembolism in a follow up period of eighteen month post discharge. Design: Retrospective study. Setting: The medical department of a teaching hospital in Jeddah, Saudi Arabia. Participants: 97 patients, admitted to the medical ward during the month of December 2015. Method: We longitudinally followed up 97 patients discharged from KAUH over a period of eighteen month. Results: Ninety-seven patients, mean age 50 (15-92) and 50 (51% ) males were included. Forty-seven percent of patients were stratified as high-risk score based on Padua score assessed by smart phone application. Our study demonstrate that the rate of pharmacological thromboprophylaxis was 72% however the rate of appropriate prophylaxis was found in 31% only. Conclusions: This study highlights the low rates of appropriate thromboprophylaxis in hospitalized medical patient at a teaching hospital in accordance with the ACCP guidelines. Underutilization of venous thromboembolism prophylaxis in medical patients suggests that preventable causes of thromboembolism are occurring. More effort is required to improve the use of appropriate thromboprophylaxis.
Prof. Dr. Bilal BİLGİN