Am Surg. 2008 Mar;74(3):189-94.

Attitudes of surgical specialists toward venous thromboembolism prophylaxis in surgical patients.

Polk HC Jr, McCafferty MH, Mahid SS, Naidu DK, Lewis JN.

Source

Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky 40292, USA. hcpolk01@louisville.edu

Abstract

Venous thromboembolism (VTE) and pulmonary embolism are serious and potentially life-threatening complications in surgical patients; however, the risk can effectively be lessened using appropriate pharmaceutical and mechanical prophylaxis. Due to the variability in opinions and indications for VTE prophylaxis, proposed guidelines for VTE prophylaxis stratified according to patient- and procedure-oriented risk factors were widely circulated. We investigated to what extent these guidelines were accepted by 147 university and community-based surgeons in mid-America and how the recommendations for prophylaxis compared with recent past surgical practice performed on 5285 patients in Kentucky in 2004. Attitudes varied widely with respect to practice sites, modes, and specialty. Actual practices used in the Surgical Care Improvement Project 2004 varied even more widely and were at substantial variance from recommendations and current Centers for Medicare and Medicaid Services quality measures.

PMID:: 18376679; [PubMed - indexed for MEDLINE]

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Research Support, U.S. Gov't, Non-P.H.S.

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Anticoagulants

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