Abstract
OBJECTIVE: This study aimed to identify risk for venous thromboembolism (VTE) and prophylaxis patterns for endstage renal disease (ESRD) patients admitted through the emergency department (ED). METHODS: ESRD patients admitted through the ED in an urban teaching hospital were enrolled in this observational cohort. Admissions through the ED were reviewed as part of a VTE prophylaxis utilization analysis. Patients with moderate to high risk for VTE based on a modified risk assessment model were considered in need of prophylaxis. Prophylaxis was defined as medical (heparin/low-molecular-weight heparin) or mechanical prophylaxis. Readmissions during the following year were monitored through an electronic database for thrombosis-related International Classification of Diseases, Ninth Revision codes. RESULTS: Thirty patients met enrollment criteria. Twenty of the 30 patients (67%) were at moderate or higher risk for VTE and considered in need of VTE prophylaxis; 6 patients (30%) were actively prophylaxed. High risk was associated with a lower probability of appropriate prophylaxis (p <0.04). Three patients (10%) had a clotting-related outcome. CONCLUSIONS: The 30% rate of VTE prophylaxis in the ESRD group is consistent with the general prophylaxis rate. Lower-risk patients appropriately received no treatment, whereas treatment was omitted in high-risk ESRD patients. The observed rate of 10% thrombosis-related diagnoses may underestimate the actual thrombosis rate.
| Original language | English |
|---|---|
| Pages (from-to) | 439-444 |
| Number of pages | 6 |
| Journal | Dialysis and Transplantation |
| Volume | 37 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 1 2008 |
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ASJC Scopus subject areas
- Nephrology
- Transplantation
Cite this
Thromboembolism prophylaxis in end-stage renal disease. / Hergenroeder, Georgene W.; Levine, Robert L.; Miller, Charles C.
In: Dialysis and Transplantation, Vol. 37, No. 11, 01.11.2008, p. 439-444.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Thromboembolism prophylaxis in end-stage renal disease
AU - Hergenroeder, Georgene W.
AU - Levine, Robert L.
AU - Miller, Charles C.
PY - 2008/11/1
Y1 - 2008/11/1
N2 - OBJECTIVE: This study aimed to identify risk for venous thromboembolism (VTE) and prophylaxis patterns for endstage renal disease (ESRD) patients admitted through the emergency department (ED). METHODS: ESRD patients admitted through the ED in an urban teaching hospital were enrolled in this observational cohort. Admissions through the ED were reviewed as part of a VTE prophylaxis utilization analysis. Patients with moderate to high risk for VTE based on a modified risk assessment model were considered in need of prophylaxis. Prophylaxis was defined as medical (heparin/low-molecular-weight heparin) or mechanical prophylaxis. Readmissions during the following year were monitored through an electronic database for thrombosis-related International Classification of Diseases, Ninth Revision codes. RESULTS: Thirty patients met enrollment criteria. Twenty of the 30 patients (67%) were at moderate or higher risk for VTE and considered in need of VTE prophylaxis; 6 patients (30%) were actively prophylaxed. High risk was associated with a lower probability of appropriate prophylaxis (p <0.04). Three patients (10%) had a clotting-related outcome. CONCLUSIONS: The 30% rate of VTE prophylaxis in the ESRD group is consistent with the general prophylaxis rate. Lower-risk patients appropriately received no treatment, whereas treatment was omitted in high-risk ESRD patients. The observed rate of 10% thrombosis-related diagnoses may underestimate the actual thrombosis rate.
AB - OBJECTIVE: This study aimed to identify risk for venous thromboembolism (VTE) and prophylaxis patterns for endstage renal disease (ESRD) patients admitted through the emergency department (ED). METHODS: ESRD patients admitted through the ED in an urban teaching hospital were enrolled in this observational cohort. Admissions through the ED were reviewed as part of a VTE prophylaxis utilization analysis. Patients with moderate to high risk for VTE based on a modified risk assessment model were considered in need of prophylaxis. Prophylaxis was defined as medical (heparin/low-molecular-weight heparin) or mechanical prophylaxis. Readmissions during the following year were monitored through an electronic database for thrombosis-related International Classification of Diseases, Ninth Revision codes. RESULTS: Thirty patients met enrollment criteria. Twenty of the 30 patients (67%) were at moderate or higher risk for VTE and considered in need of VTE prophylaxis; 6 patients (30%) were actively prophylaxed. High risk was associated with a lower probability of appropriate prophylaxis (p <0.04). Three patients (10%) had a clotting-related outcome. CONCLUSIONS: The 30% rate of VTE prophylaxis in the ESRD group is consistent with the general prophylaxis rate. Lower-risk patients appropriately received no treatment, whereas treatment was omitted in high-risk ESRD patients. The observed rate of 10% thrombosis-related diagnoses may underestimate the actual thrombosis rate.
UR - http://www.scopus.com/inward/record.url?scp=56049091310&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=56049091310&partnerID=8YFLogxK
U2 - 10.1002/dat.20280
DO - 10.1002/dat.20280
M3 - Article
AN - SCOPUS:56049091310
VL - 37
SP - 439
EP - 444
JO - Dialysis and Transplantation
JF - Dialysis and Transplantation
SN - 0090-2934
IS - 11
ER -