E-ISSN 2146-8133
 

Original Research (Original Article) 


Standard of surgical venous thrombo-prophylaxis in admitted patients

Muhammad Salman Rafiq, Muhammad Imran Rafiq, Maria Rafiq, Seema Gul Salman, Sania Hafeez.

Abstract
Objective: To determine the standard of venous-thrombosis prophylaxis at the Surgical Department of Khyber Teaching Hospital, Peshawar.
Methods: A retrospective clinical audit of patients admitted to the surgical department over a one-year period from July 2014 to July 2015 was carried out. Data on risk assessment for venous thrombosis and prophylaxis was collected, including indications for enoxaparin and graduated stockings, their prescription and use. The correct dose and timing for enoxaparin, review of prophylaxis and counselling was also noted.
Results: 157 patients, including 37 (23.6%) males and 120 (76.4%) females requiring thromboembolism prophylaxis were admitted to the emergency department during the audit period. Mean age was 50.97±12.74 years. Enoxaparin was indicated in all 157 patients, prescribed to 126 (80.3%) and administered in 120 (76.4%), respectively. Only 80 (51%) patients received the correct dosage and 85 (54.1%) patients received it at the required time. Graduated stockings were indicated in 110 (70.1%) patients, prescribed in 35(22.3%) cases and applied in 28 (17.8%), respectively. Review of prophylaxis was not performed in any of the patients at 72 hours. Counselling and information was provided to 31 (19.7%) patients. Thrombotic events occurred in 17 (10.8%) cases, of which 12 (7.6%) were lower limb deep venous thromboses and 5 (3.2%) were cases of pulmonary embolism.
Conclusions: The audit fell short of the guidelines. Enoxaparin was prescribed and administered only in certain cases, both with the wrong timing and dosage. Stockings administration was rare and its counselling was lacking. Review of management was not performed in any case. The proposed recommendations should be implemented and assessed afterwards with a second audit cycle.

Key words: Clinical audit, venous thromboembolism, prevention and control


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Muhammad Salman Rafiq
Articles by Muhammad Imran Rafiq
Articles by Maria Rafiq
Articles by Seema Gul Salman
Articles by Sania Hafeez
on Google
on Google Scholar
Article Statistics
 Viewed: 1256
Downloaded: 345
Cited: 0

How to Cite this Article
Pubmed Style

Rafiq MS, Rafiq MI, Rafiq M, Salman SG, Hafeez S. Standard of surgical venous thrombo-prophylaxis in admitted patients. Arch Clin Exp Surg. 2017; 6(2): 74-80. doi:10.5455/aces.20160324070821


Web Style

Rafiq MS, Rafiq MI, Rafiq M, Salman SG, Hafeez S. Standard of surgical venous thrombo-prophylaxis in admitted patients. http://www.ejmaces.com/?mno=214857 [Access: October 16, 2018]. doi:10.5455/aces.20160324070821


AMA (American Medical Association) Style

Rafiq MS, Rafiq MI, Rafiq M, Salman SG, Hafeez S. Standard of surgical venous thrombo-prophylaxis in admitted patients. Arch Clin Exp Surg. 2017; 6(2): 74-80. doi:10.5455/aces.20160324070821



Vancouver/ICMJE Style

Rafiq MS, Rafiq MI, Rafiq M, Salman SG, Hafeez S. Standard of surgical venous thrombo-prophylaxis in admitted patients. Arch Clin Exp Surg. (2017), [cited October 16, 2018]; 6(2): 74-80. doi:10.5455/aces.20160324070821



Harvard Style

Rafiq, M. S., Rafiq, M. I., Rafiq, M., Salman, S. G. & Hafeez, S. (2017) Standard of surgical venous thrombo-prophylaxis in admitted patients. Arch Clin Exp Surg, 6 (2), 74-80. doi:10.5455/aces.20160324070821



Turabian Style

Rafiq, Muhammad Salman, Muhammad Imran Rafiq, Maria Rafiq, Seema Gul Salman, and Sania Hafeez. 2017. Standard of surgical venous thrombo-prophylaxis in admitted patients. Archives of Clinical and Experimental Surgery (ACES), 6 (2), 74-80. doi:10.5455/aces.20160324070821



Chicago Style

Rafiq, Muhammad Salman, Muhammad Imran Rafiq, Maria Rafiq, Seema Gul Salman, and Sania Hafeez. "Standard of surgical venous thrombo-prophylaxis in admitted patients." Archives of Clinical and Experimental Surgery (ACES) 6 (2017), 74-80. doi:10.5455/aces.20160324070821



MLA (The Modern Language Association) Style

Rafiq, Muhammad Salman, Muhammad Imran Rafiq, Maria Rafiq, Seema Gul Salman, and Sania Hafeez. "Standard of surgical venous thrombo-prophylaxis in admitted patients." Archives of Clinical and Experimental Surgery (ACES) 6.2 (2017), 74-80. Print. doi:10.5455/aces.20160324070821



APA (American Psychological Association) Style

Rafiq, M. S., Rafiq, M. I., Rafiq, M., Salman, S. G. & Hafeez, S. (2017) Standard of surgical venous thrombo-prophylaxis in admitted patients. Archives of Clinical and Experimental Surgery (ACES), 6 (2), 74-80. doi:10.5455/aces.20160324070821





Most Viewed Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Role of Ultrasonography (“Honeycomb Sign”) in Early Detection of Dengue Hemorrhagic Fever
    Sudhir Sachar, Sunder Goyal, Saurabh Sachar
    Arch Clin Exp Surg. 2013; 2(1): 38-42
    » Abstract & References » doi: 10.5455/aces.20120828025157

  • Barium Enema in the Diagnosis of Hirschsprung’s Disease: A Comparison with Rectal Biopsy
    Mohammad Abbas, Arshad Rashid, Asim Rafiq Laharwal, Ajaz Ahmad Wani, Shabir Ahmad Dar, Manzoor Ahamad Chalkoo, Showkat Majeed Kakroo
    Arch Clin Exp Surg. 2013; 2(4): 224-228
    » Abstract & References » doi: 10.5455/aces.20120703031135

  • Long-Term Productive Cough Caused by Tracheal Bronchus
    Chih-Hao Chen, Shih-Yi Lee, Ho Chang, Tzu-Ti Hung
    Arch Clin Exp Surg. 2012; 1(2): 120-121
    » Abstract & References » doi: 10.5455/aces.20120311102403

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part I Clinical Aspects
    Huseyin Karagoz, Celalettin Sever, Yalcin Bayram, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2012; 1(4): 237-248
    » Abstract & References » doi: 10.5455/aces.20120218124923

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721

  • Patient Selection in Plastic Surgery: Recognizing Body Dysmorphic Disorder
    Cihan Sahin, Onat Yilmaz, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Yalcin Kulahci, Alpay Ates
    Arch Clin Exp Surg. 2013; 2(2): 109-115
    » Abstract & References » doi: 10.5455/aces.20120722123102

  • Most Downloaded
  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Patient Selection in Plastic Surgery: Recognizing Body Dysmorphic Disorder
    Cihan Sahin, Onat Yilmaz, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Yalcin Kulahci, Alpay Ates
    Arch Clin Exp Surg. 2013; 2(2): 109-115
    » Abstract & References » doi: 10.5455/aces.20120722123102

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • A Study of Methods Used to Reduce Surgical Site Infections
    Stuart R. Walker, Tara Anderson
    Arch Clin Exp Surg. 2012; 1(1): 27-33
    » Abstract & References » doi: 10.5455/aces.20120213053645

  • Principles of risk management in surgery departments
    Fatemeh Rezaei, Mohammad H Yarmohammadian, Masoud Ferdosi, Abbas Haghshenas
    Arch Clin Exp Surg. 2015; 4(3): 126-134
    » Abstract & References » doi: 10.5455/aces.20140925015830

  • Slow-Release Drug Deliver System with Polylactic Acid Hydrogels in Prevention of Tracheal Wall Fibroplasia
    Jinrang Li, Lili Peng, Jianjun Sun, Hongguang Guo, Kun Guo, Zuogang Li, Yao Tang, Xu Sun, Shuangqing Zhang
    Arch Clin Exp Surg. 2012; 1(1): 1-7
    » Abstract & References » doi: 10.5455/aces.20120220105531

  • Post-Traumatic Pancreatic Pseudocyst: Report of Two Cases with Review of Literature
    Sunder Goyal, Sudhir Sachar, Ram Kumar Verma, Snigdha Goyal
    Arch Clin Exp Surg. 2013; 2(4): 251-258
    » Abstract & References » doi: 10.5455/aces.20120524103614

  • Role of Ultrasonography (“Honeycomb Sign”) in Early Detection of Dengue Hemorrhagic Fever
    Sudhir Sachar, Sunder Goyal, Saurabh Sachar
    Arch Clin Exp Surg. 2013; 2(1): 38-42
    » Abstract & References » doi: 10.5455/aces.20120828025157

  • Most Cited Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447
    Cited : 8 times [Click to see citing articles]

  • Experimental Craniofacial Composite Tissue Allotransplantation (CCTA) Models in Rats
    Yalcin Kulahci, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(3): 181-187
    » Abstract & References » doi: 10.5455/aces.20120514010906
    Cited : 7 times [Click to see citing articles]

  • Thoracodorsal Artery Perforator Flap: Basic Surgical Determinants
    Celalettin Sever, Yalcin Bayram, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(4): 270-271
    » Abstract & References » doi: 10.5455/aces.20120506072849
    Cited : 6 times [Click to see citing articles]

  • Pre-expanded Supraclavicular Flap for Post-burn Neck Contractures
    Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(1): 61-62
    » Abstract & References » doi: 10.5455/aces.20120205090034
    Cited : 4 times [Click to see citing articles]

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721
    Cited : 4 times [Click to see citing articles]

  • The effect of Kristeller maneuver on maternal and neonatal outcome
    Gokhan Acmaz, Evrim Albayrak, Gokalp Oner, Murvet Baser, Gulsum Aykut, Gulender Tas Tekin, Gokmen Zararsiz, Iptisam Ipek Muderris
    Arch Clin Exp Surg. 2015; 4(1): 29-35
    » Abstract & References » doi: 10.5455/aces.20140328024258
    Cited : 4 times [Click to see citing articles]

  • What is the Most Appropriate Animal Model for Experimental Diabetic Neuropathy Studies ?
    Huseyin Karagoz, Mustafa Tansel Kendirli
    Arch Clin Exp Surg. 2012; 1(3): 199-200
    » Abstract & References » doi: 10.5455/aces.20120514012617
    Cited : 3 times [Click to see citing articles]

  • Anesthetic Burns – A Burn Injury Due to A Combination of Local Anaesthetic and Heat Pack
    Stuart Robert Walker
    Arch Clin Exp Surg. 2012; 1(2): 127-128
    » Abstract & References » doi: 10.5455/aces.20120206110836
    Cited : 3 times [Click to see citing articles]

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part I Clinical Aspects
    Huseyin Karagoz, Celalettin Sever, Yalcin Bayram, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2012; 1(4): 237-248
    » Abstract & References » doi: 10.5455/aces.20120218124923
    Cited : 3 times [Click to see citing articles]

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part II. Experimental Studies
    Huseyin Karagoz, Yalcin Bayram, Celalettin Sever, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2013; 2(1): 49-58
    » Abstract & References » doi: 10.5455/aces.20120218125115
    Cited : 3 times [Click to see citing articles]