Murphy O, O'Connell O, Liston R, Connaughton J, Costello R, Breiden J, Doran P, Gaine S
Department of Respiratory Medicine, Cork University Hospital, Wilton, Cork.
Ir Med J. 2012 May;105(5):140-3.
ENDORSE (Epidemiologic International Day for the Evaluation of Patients at Risk for Venous Thromboembolism in the Acute Hospital Care Setting), is a multinational, cross-sectional survey of venous thromboembolism (VTE) risk prevalence and effective prophylaxis in the acute hospital care setting. Three Irish hospitals enrolled in the study. The American College of Chest Physicians (ACCP) guidelines were employed to evaluate VTE risk and prophylaxis. Of 552 patients, 297 (53.8%) and 255 (46.2%) were categorised as surgical or medical, respectively, with 175 (59%) surgical and 109 (43%) medical patients deemed to be at risk for VTE. Of these, only 112 (64%) and 51 (47%) received recommended VTE prophylaxis, respectively. The results are consistent with those observed in other countries and demonstrate a high prevalence of risk for VTE and a low rate of prophylaxis use, particularly in medical patients. Awareness of VTE guidelines should be an integral component of health policy.
ENDORSE（急性医院护理环境中静脉血栓栓塞风险患者评估的国际流行病学日）是一项针对急性医院护理环境中静脉血栓栓塞（VTE）风险患病率及有效预防措施的跨国横断面调查。三家爱尔兰医院参与了该研究。采用美国胸科医师学会（ACCP）指南来评估VTE风险及预防措施。在552名患者中，分别有297名（53.8%）和255名（46.2%）被归类为外科或内科患者，其中175名（59%）外科患者和109名（43%）内科患者被认为有VTE风险。在这些患者中，分别只有112名（64%）和51名（47%）接受了推荐的VTE预防措施。结果与其他国家观察到的结果一致，表明VTE风险患病率很高，而预防措施的使用率很低，尤其是在内科患者中。对VTE指南的认识应成为卫生政策的一个组成部分。
