Venous thromboembolism : risk profile and management of prophylaxis in gynaecological surgery patients

dc.contributor.authorSnyman, Leon Cornelius
dc.contributor.authorPotgieter, Janine
dc.contributor.emailleon.snyman@up.ac.zaen_ZA
dc.date.accessioned2015-06-19T06:56:15Z
dc.date.available2015-06-19T06:56:15Z
dc.date.issued2014-10
dc.description.abstractOBJECTIVES. This study aims to describe the venous thromboembolism (VTE) risk profile of women undergoing elective gynaecological surgery in a tertiary hospital and to audit the VTE prophylaxis prescribed. METHODS. One hundred and nine women who underwent elective gynaecological surgery at Kalafong Provincial Tertiary Hospital were assessed in terms of their risk of developing perioperative VTE, using the modified Caprini VTE risk assessment model. An audit of the VTE prophylaxis they received was conducted postoperatively. RESULTS. Of the 109 women, 45% were classified as at very high risk for VTE, 38% as at high risk, 14% as at moderate risk and 3% as at low risk. The audit revealed that only 5% of patients received the correct VTE prophylaxis, 55% received inadequate prophylaxis and 40% received no prophylaxis. DISCUSSION. The majority of patients undergoing elective gynaecological surgery are either at high risk or very high risk for developing postoperative VTE-related morbidity. This group of patients require formal preoperative VTE risk assessment using a recognised scoring model. VTE prophylaxis should be administered according to recognised guidelines to avoid inadequate prophylaxis.en_ZA
dc.description.librarianam2015en_ZA
dc.description.urihttp://sajog.org.za/index.php/SAJOGen_ZA
dc.description.urihttp://reference.sabinet.co.za/sa_epublication/m_sajogen_ZA
dc.identifier.citationSnyman, LC & Potgieter, J 2014, 'Venous thromboembolism : risk profile and management of prophylaxis in gynaecological surgery patients', South African Journal of Obstetrics and Gynaecology, vol. 20, no. 3, pp. 76-79.en_ZA
dc.identifier.issn0038-2329 (print)
dc.identifier.issn2078-5135 (online)
dc.identifier.other10.7196/SAJOG.490
dc.identifier.urihttp://hdl.handle.net/2263/45607
dc.language.isoenen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.rights© 2014 Health and Medical Publishing Group. This work is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0) .en_ZA
dc.subjectPatientsen_ZA
dc.subjectVenous thromboembolism (VTE)en_ZA
dc.subjectGynaecological surgeryen_ZA
dc.subjectWomenen_ZA
dc.subjectVTE prophylaxisen_ZA
dc.titleVenous thromboembolism : risk profile and management of prophylaxis in gynaecological surgery patientsen_ZA
dc.typeArticleen_ZA

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