| Title | Reduction in deep vein thrombosis incidence in intensive care after a clinician educational program. | | Author(s) | Boddi M, Barbani F, Abbate R, Bonizzoli M, Batacchi S, Lucente E, Chiostri M, Gensini GF, Peris A | | Institution | Clinica Medica Generale e Medicine Specialistiche, Dipartimento di Area Critica Medico-Chirurgica, Azienza Ospedaliera-Universitaria Careggi, Florence. | | Source | J Thromb Haemost 2009 Oct 28. | | Abstract | Summary
Background: Deep vein thrombosis (DVT) is a fearful complication in intensive care units (ICU) but dedicated guidelines are still lacking. Objectives and
Methods: This study investigated the effect of an educational program one year lasting for the implementation of DVT prophylaxis on the limb inferior DVT incidence in a mixed bed ICU that admits high-risk medical surgical and trauma patients, investigated during a first retrospective phase (126 pts, SAPS II score 42(28-54) and a following prospective phase (264 pts, SAPS II score II 41 (27-55)). The role of baseline and time-dependent DVT risk factors for DVT occurrence was also investigated during the prospective phase.
Results: the educational program for DVT prophylaxis implementatio was associated with a significantly decrease in DVT incidence (from 11.9 to 4,5%, p<0.01) and in the mean length of ICU stay (p<0.01). Combined to pharmacological prophylaxis, the use of elastic compressive stocks significantly increased in the prospective phase (p<0.01).The duration of mechanical ventilation,vasopressor administration and neuromuscolar block were significantly different between DVT positive and negative patients (p<0.01). Multivariate analysis identified neromuscular block as the strongest independent predictors for DVT incidence.
Conclusion: ICU-based educational programs one year lasting for DVT prophylaxis implementation was associated to a significant decreasing DVT incidence and length of stay in ICU. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19874469 |
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