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
1Shiraz Univerciti of Medical Sciences, Anesthesia and Critical Care Research Center, Shiraz, Iran, Islamic Republic Of
2Shiraz Univerciti of Medical Sciences, Trauma Research Center, Shiraz, Iran, Islamic Republic Of
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