Khan M I, O'Leary C, Silvari V, O'Brien A, O'Connor M, Duggan C, O'Shea S
Cork University Hospital.
Ir Med J. 2017 Jan 11;110(1):499.
Venous Thromboembolic (VTE) events in hospitalised patients are associated with significant mortality and morbidity and a major economic burden on the health service. It is well established in the literature that active implementation of a mandatory risk assessment tool and thromboprophylaxis policy reduces the incidence of hospital associated thrombosis (HAT). This study examines the utilization of a VTE risk assessment tool and thromboprophylaxis (TP) policy in Irish hospitals that manage acute admissions. A national survey was distributed to forty acute hospitals throughout Ireland. The response rate was 78% (31/40). The results showed that only 26% (n=8/31) of acute hospitals in Ireland have a local implemented TP policy. Six (75%) of these eight had a risk assessment tool in conjunction with the TP policy. All respondents who did not report to have a TP policy and risk assessment tool agreed that they should implement VTE prevention policy at their hospital. Based on the data from this survey and evidence from the effectiveness of the VTE prevention programme introduced in the United Kingdom, there is a need for a national risk assessment and thromboprophylaxis policy in Ireland. This change in practice would have the potential to prevent or reduce the morbidity and mortality associated with hospital acquired thrombosis.
住院患者的静脉血栓栓塞（VTE）事件与显著的死亡率和发病率相关，并且给医疗服务带来重大经济负担。文献中已充分证实，积极实施强制性风险评估工具和血栓预防策略可降低医院相关血栓形成（HAT）的发生率。本研究调查了爱尔兰管理急性入院患者的医院中VTE风险评估工具和血栓预防（TP）策略的使用情况。一项全国性调查已分发给爱尔兰各地的40家急性医院。回复率为78%（31/40）。结果显示，爱尔兰只有26%（n = 8/31）的急性医院实施了本地TP策略。这八家医院中有六家（75%）将风险评估工具与TP策略结合使用。所有未报告有TP策略和风险评估工具的受访者都同意他们的医院应实施VTE预防策略。基于本次调查的数据以及英国引入的VTE预防计划有效性的证据，爱尔兰需要一项全国性的风险评估和血栓预防策略。这种实践中的改变有可能预防或降低与医院获得性血栓形成相关的发病率和死亡率。
