Journal of Critical and Intensive Care 2023 , Vol 14, Issue 1
Evaluating the gap Between DVT Prophylaxis Guideline Recommendations and Common Medical Practice in Critically ill Patients: A Multi-Centre Study
Mansoor MASJEDI 1 ,Golnar SABETIAN 2 ,Raheleh CHEGINI 1 ,Vida NADERI BOLDAJI 1 ,Zahra ESMAEILINEZHAD 1
1Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
DOI : 10.37678/dcybd.2023.2857 Background: Although compliance with the guideline in venous thromboembolism prophylaxis have shown to improve outcomes, there is a wide gap between the guidelines and common medical practice. The aim of this study was to evaluate the gap between the deep venous thromboembolism (DVT) prophylaxis and Caprini score.

Methods: This observational cross sectional study carried out in two teaching hospital. Risk categories of patients and prophylaxis used were recorded. Appropriate adherence to the guidelines was analyzed.

Results: From 296 patients, prophylaxis of venous thrombosis was used in 228 patients (77.03%). Among them 58 (23.45%) received adequate whereas 152 (66.67%) and 18 (7.89%) received inadequate and extra prophylaxis respectively. Of all the patients, 78 (26.4%) had contraindications to receive thromboprophylaxis drugs, all of whom needed mechanical prophylaxis, while only 19 (28.3%) of them received it. Adherence to guidelines were low in relation to the use (39.19%) and to the type (25.44%) of prophylaxis.

Conclusion: Although prophylaxis of VTE is generally used in risk patients, but there was a high gap between DVT prophylaxis guideline recommendations and common medical practice in our intensive care units and appropriate adherence to guidelines is less frequent. Keywords : Venous Thromboembolism, Caprini score, Intensive Care Unit, Guideline Adherence, thromboprophylaxis, appropriate prophylaxis