Avaliação da profilaxia da trombose venosa profunda em um Hospital Geral

Abstract

Objective: Deep venous thrombosis is a multidisciplinary disease, which can be clinically and surgically present as a complication of hospitalization. The aim of this study is to verify whether the prophylaxis for deep venous thrombosis is being used at the Hospital e Maternidade Marieta Konder Bornhausen (HMMKB), in Itajaí (SC, Brazil), and whether it is being used adequately. Methods: A transversal, analytical, and descriptive study was performed at the HMMKB for a 30-day period. The sample was composed of 983 patients within different specialties. Patients were divided into clinical (63.7%) and surgical (36.3%). Clinical and surgical factors, as well as medications were surveyed for all patients. Based on these data, risk stratification and the evaluation of prophylaxis were established according to the classification suggested by the International Consensus Statement. Data were tabled and statistically analyzed, with the support of the software Epi-Info 2002. Results: Of the 983 patients surveyed, 362 (36.8%) presented low risk for the development of deep venous thrombosis, 104 (10.6%) were considered medium risk, and most patients, 517 (52.6%), presented high risk. Of the 124 (12.6%) patients who received prophylaxis for deep venous thrombosis, only 46 (37.1%) received it adequately, and 859 (87.4%) did not receive any kind of prophylactic measure. Conclusions: Despite the efficiency of the prophylaxis for deep venous thrombosis having been proven by several studies, it does not reach satisfactory levels in our environment. Copyright © 2005 by Sociedade Brasileira de Angiologia e Cirurgia Vascular.