Year: 2008
Type: article
Study design: Observational Study
Abstract: OBJECTIVE This study aimed to identify risk for venous thromboembolism (VTE) and prophylaxis patterns for end‐stage renal disease (ESRD) patients admitted through the emergency department (ED). METHODS ESRD patients admitted through the ED in an urban teaching hospital were enrolled in this observational cohort. Admissions through the ED were reviewed as part of a VTE prophylaxis utilization analysis. Patients with moderate to high risk for VTE based on a modified risk assessment model were considered in need of prophylaxis. Prophylaxis was defined as medical (heparin/low‐molecular‐weight heparin) or mechanical prophylaxis. Readmissions during the following year were monitored through an electronic database for thrombosis‐related International Classification of Diseases, Ninth Revision codes. RESULTS Thirty patients met enrollment criteria. Twenty of the 30 patients (67%) were at moderate or higher risk for VTE and considered in need of VTE prophylaxis; 6 patients (30%) were actively prophylaxed. High risk was associated with a lower probability of appropriate prophylaxis (p < 0.04). Three patients (10%) had a clotting‐related outcome. CONCLUSIONS The 30% rate of VTE prophylaxis in the ESRD group is consistent with the general prophylaxis rate. Lower‐risk patients appropriately received no treatment, whereas treatment was omitted in high‐risk ESRD patients. The observed rate of 10% thrombosis‐related diagnoses may underestimate the actual thrombosis rate.
Source: Dialysis & Transplantation
DOI: 10.1002/dat.20280
Language: English
Subfield: Internal Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2014235473