Publication
Venous thromboembolism risk and prophylaxis in the Portuguese hospital care setting: The ARTE study.
| dc.contributor.author | Ferreira, D | |
| dc.contributor.author | Sousa, J | |
| dc.contributor.author | Felicíssimo, P | |
| dc.contributor.author | França, A | |
| dc.date.accessioned | 2018-04-16T15:12:45Z | |
| dc.date.available | 2018-04-16T15:12:45Z | |
| dc.date.issued | 2017 | |
| dc.description.abstract | INTRODUCTION: Venous thromboembolism (VTE) is a relatively common complication during hospital stay and determination of VTE risk is critical to choosing the best prophylactic strategy for each patient. OBJECTIVES: In the present study we studied the risk profile for VTE in hospitalized patients in a group of hospitals in Portugal. METHODS: Based on an open cohort of 4248 patients hospitalized in surgical, internal medicine, orthopedic or oncology departments, we determined thromboembolic risk at admission by applying a new score, modified from the Caprini and Khorana scores. Thrombotic, embolic and bleeding events and death were assessed during hospital stay and at three and six months after discharge. RESULTS: The median duration of hospital stay was five days and thromboembolic prophylaxis was implemented in 67.2% (n=2747) of the patients. A low molecular weight heparin was used as prophylaxis in the majority of cases (88.3%). Most patients were classified as high (68%) or intermediate risk (27%). The overall incidence of thromboembolic events was 1.5%. Major bleeding events were recorded in 3.89% of patients and all-cause mortality was 3.4%. CONCLUSIONS: In this study, we propose a modified VTE risk score that effectively risk-stratifies a mixed inpatient population during hospital stay. The use of this score may result in improvement of thromboprophylaxis practices in hospitals. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Rev Port Cardiol. 2017 Nov;36(11):823-830. | pt_PT |
| dc.identifier.doi | 10.1016/j.repc.2017.01.009. | pt_PT |
| dc.identifier.issn | 2174-2030 | |
| dc.identifier.uri | http://hdl.handle.net/10400.10/1994 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Sociedade Portuguesa de Cardiologia | pt_PT |
| dc.relation.publisherversion | http://www.elsevier.pt/en/revistas/revista-portuguesa-cardiologia-english-edition--434/pdf/S2174204917303276/S300/ | pt_PT |
| dc.subject | Tromboembolia venosa | pt_PT |
| dc.subject | Venous thromboembolism | pt_PT |
| dc.subject | Avaliação do risco | pt_PT |
| dc.subject | Risk assessment | pt_PT |
| dc.title | Venous thromboembolism risk and prophylaxis in the Portuguese hospital care setting: The ARTE study. | pt_PT |
| dc.title.alternative | Risco de tromboembolismo venoso e tromboprofilaxia nos hospitais portugueses – Estudo ARTE | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | Lisboa | pt_PT |
| oaire.citation.endPage | 830 | pt_PT |
| oaire.citation.startPage | 823 | pt_PT |
| oaire.citation.title | Revista Portuguesa de Cardiología | pt_PT |
| oaire.citation.volume | 36 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |