Medical College, Aga Khan University, Karachi, Pakistan.
Department of Medicine, Harvard Medical School, Boston, MA, USA.
Clin Appl Thromb Hemost. 2023 Jan-Dec;29:10760296231181916. doi: 10.1177/10760296231181916.
Venous thromboembolism (VTE) is a preventable cause of mortality and morbidity. We performed a retrospective analysis of patient records to identify those readmitted with a diagnosis of VTE within 6 months of the primary admission. The records were evaluated to see whether thromboprophylaxis had been provided to patients at high risk for VTE. A total of 360 hospital encounters between August 1, 2018, and August 31, 2019, with VTE, 57 (16%) encounters were readmissions with a primary diagnosis of deep vein thrombosis within 180 days of their primary stay. A high proportion (44%) of these readmissions were within the first 30 days. 3% (n = 9) of patients developed pulmonary embolism; 35 (61%) did not receive thromboprophylaxis on their primary stay. Thromboprophylaxis is often not utilized appropriately in healthcare settings. Our study showed substantial incidence of hospital readmissions due to VTE which is consistent with prior studies conducted globally. A more stringent adherence to the protocol along with risk stratification may lower rates of VTE admission and reduce associated morbidity and mortality.
静脉血栓栓塞症(VTE)是导致死亡和发病的可预防原因。我们对患者病历进行了回顾性分析,以确定在初次入院后 6 个月内诊断为 VTE 而再次入院的患者。评估病历以确定是否为有发生 VTE 高风险的患者提供了血栓预防措施。2018 年 8 月 1 日至 2019 年 8 月 31 日期间,共有 360 例 VTE 住院病例,其中 57 例(16%)再入院患者在初次住院后 180 天内以深静脉血栓形成的主要诊断再次入院。这些再入院患者中有相当大的比例(44%)是在最初的 30 天内。3%(n=9)的患者发生肺栓塞;35 例(61%)在初次住院期间未接受血栓预防措施。在医疗保健环境中,血栓预防措施常常不能得到适当的应用。我们的研究显示,由于 VTE 导致的医院再入院率很高,这与全球开展的既往研究结果一致。更严格地遵守该方案并进行风险分层可能会降低 VTE 入院率,并降低相关发病率和死亡率。