INTRODUCTION: Venous thromboembolism (VTE) is a major health problem that has fostered the definition of specific guidelines by Scientific Societies. The type of procedure as well as trauma are crucial for VTE in surgical patients (General Surgery, Gynaecology and Orthopaedics). MATHERIALS AND METHODS: The project stemmed from a National grant from the Italian Ministry of research. A data-survey framework was prepared and made available as a form to be filled and was sent to 714 centres to investigate the application of the guidelines for VTE across the national territory. RESULTS: A number of 146 centres replied (20,4% of total): 48 Departments of General Surgery, 46 Departments of Ginaecology, 52 Departments of Orthopaedics. About 70% of the Centres had appropriate information about surgery as a risk factor for VTE. The answers have demonstrated an adequate knowledge of the instrumental and laboratory diagnostic pathways, useful to confirm diagnostic suspect of TE (80%). The data concerning diagnostic data waiting and morbidity/mortality have been further analyzed. Data waiting have been compared with morbidity and mortality rates related to DVT-PE that showed an increase of mortality connected to the diagnostic data timing of supply with an exponential trend linked to the data acquisition delay. CONCLUSIONS: Risk stratification and adequate application of prophylaxis and treatment devices represent a real possibility to control morbidity and mortality for VTE. Moreover diagnostic data waiting conditions adequate prophylaxis. In Italy, only the 40% of the centres is able to supply diagnostic data within 12 hours. KEY WORDS: Deep Vein Thrombosis, Pulmonary Embolism, Venous Thromboembolism, Guidelines

Guidelines for venous thromboembolism and clinical practice in Italy : a nationwide survey / S. de Franciscis, G.B. Agus, R. Bisacci, G. Botta, V. Gasbarro, M. Domanin, C.G. Nobile, R. Serra. - In: ANNALS OF VASCULAR SURGERY. - ISSN 0890-5096. - 22:2(2008), pp. 319-327.

Guidelines for venous thromboembolism and clinical practice in Italy : a nationwide survey

G.B. Agus;M. Domanin;
2008

Abstract

INTRODUCTION: Venous thromboembolism (VTE) is a major health problem that has fostered the definition of specific guidelines by Scientific Societies. The type of procedure as well as trauma are crucial for VTE in surgical patients (General Surgery, Gynaecology and Orthopaedics). MATHERIALS AND METHODS: The project stemmed from a National grant from the Italian Ministry of research. A data-survey framework was prepared and made available as a form to be filled and was sent to 714 centres to investigate the application of the guidelines for VTE across the national territory. RESULTS: A number of 146 centres replied (20,4% of total): 48 Departments of General Surgery, 46 Departments of Ginaecology, 52 Departments of Orthopaedics. About 70% of the Centres had appropriate information about surgery as a risk factor for VTE. The answers have demonstrated an adequate knowledge of the instrumental and laboratory diagnostic pathways, useful to confirm diagnostic suspect of TE (80%). The data concerning diagnostic data waiting and morbidity/mortality have been further analyzed. Data waiting have been compared with morbidity and mortality rates related to DVT-PE that showed an increase of mortality connected to the diagnostic data timing of supply with an exponential trend linked to the data acquisition delay. CONCLUSIONS: Risk stratification and adequate application of prophylaxis and treatment devices represent a real possibility to control morbidity and mortality for VTE. Moreover diagnostic data waiting conditions adequate prophylaxis. In Italy, only the 40% of the centres is able to supply diagnostic data within 12 hours. KEY WORDS: Deep Vein Thrombosis, Pulmonary Embolism, Venous Thromboembolism, Guidelines
Settore MED/22 - Chirurgia Vascolare
ANNALS OF VASCULAR SURGERY
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/57502
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