Objective:
To evaluate the profile of hospitalized patients with risk of VTE at Sanglah Hospital Denpasar Bali.
Methods:
This study design was descriptive research. The sample was medically ill and surgical patients with the risk of VTE, being hospitalized at Sanglah Hospital Denpasar, Bali Indonesia.
Results:
The most VTE risk factors for 92 medically ill patients were 79.3% with reduced mobility for ≥ 72 hours and for 31 surgical patients were 77.4% with major surgery (> 45 minutes). Both medical and surgical patients have 2 to 4 VTE risk factors. Of the 123 patients who participated in this study, 6 patients received thromboprophylaxis (83.33% medically ill patients), while 117 patients did not receive thromboprophylaxis. The reason for not giving thromboprophylaxis was 35.04% due to contraindications, and 64.96% of patients without indications for thromboprophylaxis. The contraindications of giving thromboprophylaxis were 46.34% due to thrombocytopenia, 31.71% bleeding, 19.51% impaired renal function, and 2.44% hemostasis disorders. The proportion of medical and surgical patients with VTE risk and receiving thromboprophylaxis was 9.43% and 3.45% respectively. The choice of pharmacological thromboprophylaxis used in this study is Unfractionated Heparin (UFH) and Low Molecular Weight Heparin (LMWH).
Conclusion:
The most frequent risk factor found in medically ill patients was immobilization and major surgical procedure for surgical patients. The thromboprophylaxis given is medical thromboprophylaxis with UFH and LMWH.
Key words: Venous Thromboembolism (VTE), prophylaxis, hospitalized patients
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