Hassan Muaz, Adam Rami A, Hussen Mostafa Adam Mosab, Mairghani Rawan, Ahmed Almegdad S, Abdelseid Hadeel, Abdalla Alaa, Babiker Mohamed Fatima Mohamedahmed, Yousif Ghofran B, Adam Mohamed A, Embarek Hussein A, Salim Omer H
General Surgery, Alnao Teaching Hospital, Khartoum, SDN.
General Surgery, Alexandria University, Cairo, EGY.
Cureus. 2024 Nov 9;16(11):e73316. doi: 10.7759/cureus.73316. eCollection 2024 Nov.
Background Venous thromboembolism (VTE) is a condition that occurs when a blood clot forms in a vein. VTE includes deep vein thrombosis (DVT) and pulmonary embolism (PE). Regular monitoring and risk assessment are crucial for effectively using VTE prevention measures. This study aimed to evaluate the practices related to VTE risk assessment and prophylaxis within our surgical unit in a Sudanese teaching hospital. Methods This study was conducted at Alnao teaching hospital and was comprised of two cycles. It examined adult patients who underwent gastrointestinal operations. Data from medical records including age, sex, type of operation, whether VTE and bleeding risk assessments were performed, whether pharmacological or mechanical prophylaxis was administered, and any contraindications to VTE prophylaxis. The practice of VTE risk assessment and prophylaxis prescription was compared to the National Institute for Health and Care Excellence (NICE) guidelines for VTE risk assessment and prophylaxis. Following cycle one, regular educational sessions were conducted for medical staff, emphasizing the need for improved practices in assessing the risk of VTE and prophylaxis prescription. Results 32 patients in cycle one and 29 patients in cycle two were included. VTE and bleeding risks were assessed in 0/32 (0.00%) of patients in cycle one compared to 29/29 (100%) in cycle two. In cycle one, 0/32 (0.00%) patients were given VTE prophylaxis according to the guidelines. This practice improved to 17/29 (58.6%) in cycle two. Conclusion The audit highlights the role of organized methods and education in improving adherence to VTE prophylaxis guidelines. Targeted interventions like educational sessions and risk assessment tools led to significant practice improvements, particularly in low-resource settings. Continuous auditing and training are essential for maintaining and enhancing compliance with VTE prophylaxis standards.
背景 静脉血栓栓塞症（VTE）是指在静脉中形成血凝块时发生的一种病症。VTE包括深静脉血栓形成（DVT）和肺栓塞（PE）。定期监测和风险评估对于有效采取VTE预防措施至关重要。本研究旨在评估苏丹一家教学医院外科病房内与VTE风险评估和预防相关的实践情况。方法 本研究在阿尔瑙教学医院进行，包括两个周期。研究对象为接受胃肠道手术的成年患者。收集病历中的数据，包括年龄、性别、手术类型、是否进行了VTE和出血风险评估、是否给予了药物或机械预防措施以及VTE预防的任何禁忌症。将VTE风险评估和预防处方的实践情况与英国国家卫生与临床优化研究所（NICE）的VTE风险评估和预防指南进行比较。在第一个周期之后，为医务人员举办了定期教育课程，强调改进VTE风险评估和预防处方实践的必要性。结果 第一个周期纳入32例患者，第二个周期纳入29例患者。第一个周期中0/32（0.00%）的患者进行了VTE和出血风险评估，而第二个周期为29/29（100%）。在第一个周期中，0/32（0.00%）的患者按照指南接受了VTE预防。这一实践在第二个周期提高到了17/29（58.6%）。结论 该审计突出了有组织的方法和教育在提高对VTE预防指南依从性方面的作用。诸如教育课程和风险评估工具等针对性干预措施带来了显著的实践改进，特别是在资源匮乏的环境中。持续审计和培训对于维持和提高VTE预防标准的合规性至关重要。
