Greco F, Bisignani G, Serafini O, Plastina F
Divisione di Cardiologia, Ospedale Civile Annunziata, Cosenza.
Minerva Med. 1999 Jan-Feb;90(1-2):7-13.
The purpose of this study was to analyse the attitudes towards and knowledge of primary prevention of venous thromboembolism (VTE) among hospital doctors in Calabria.
The survey was based on theoretical knowledge and practical management of hortopedics, surgeons, gynecologists and internists working in 14 hospitals.
Out of a total of 340 physicians contacted, 154 (45%) agreed to take part in the survey. 82% of those who responded used VTE prophylaxis on a routine basis. Unfractioned heparin (71%) was the most frequently used methods; early deambulation (55%), low molecular weight heparin (49%) and elastic stocking (49%) were less frequently employed. Surprisingly, one third used aspirin. 75% of those contacted had modified their approach to prevention during the last few years, in particular owing to improvements in pharmacological therapy and increased awareness of the problem. In the survey of clinical practice, 80% of those who took part correctly identified the VTE risk, 86% suggested the best treatment, but only 27% assessed the exact frequency rate of deep venous thrombosis (DVT) and pulmonary embolism (PE) in the absence of prophylaxis.
Most of the doctors contacted showed scant interest in the primary prevention of VTE. The 45% who agreed to be interviewed revealed a good practical approach but were not sufficiently aware of the real incidence of DVT and PE in a clinical risk context without prophylaxis. Although they must be interpreted with caution, these findings allow the real behaviour of hospital physicians in this region to be assessed with regard to the primary prevention of VTE and suggest the need for more correct information about this aspect of venous thromboembolic disease which is not yet sufficiently well known.
本研究旨在分析卡拉布里亚地区医院医生对静脉血栓栓塞症（VTE）一级预防的态度和认知。
该调查基于在14家医院工作的骨科医生、外科医生、妇科医生和内科医生的理论知识及实际管理情况。
在总共联系的340名医生中，154名（45%）同意参与调查。82%的受访者常规使用VTE预防措施。普通肝素（71%）是最常用的方法；早期下床活动（55%）、低分子肝素（49%）和弹力袜（49%）使用频率较低。令人惊讶的是，三分之一的人使用阿司匹林。75%的受访者在过去几年中改变了预防方法，特别是由于药物治疗的改进和对该问题认识的提高。在临床实践调查中，80%的参与者正确识别了VTE风险，86%提出了最佳治疗建议，但只有27%评估了在无预防措施情况下深静脉血栓形成（DVT）和肺栓塞（PE）的确切发生率。
大多数受访医生对VTE的一级预防兴趣不大。同意接受采访的45%的人显示出良好的实际做法，但对无预防措施的临床风险背景下DVT和PE的实际发生率认识不足。尽管这些发现必须谨慎解读，但它们有助于评估该地区医院医生在VTE一级预防方面的实际行为，并表明需要更多关于静脉血栓栓塞性疾病这一方面的正确信息，而这方面目前还未得到充分了解。
