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Báo cáo y học: "Prevention and diagnosis of venous thromboembolism in critically ill patients: a Canadian survey"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Prevention and diagnosis of venous thromboembolism in critically ill patients: a Canadian survey. | Critical Care December 2001 Vol 5 No 6 Cook et al. Research article Prevention and diagnosis of venous thromboembolism in critically ill patients a Canadian survey Deborah Cook Joseph McMullin Richard Hodder Mark Heule Jaime Pinilla Peter Dodek and Thomas Stewart for the Canadian ICU Directors Group Department of Medicine McMaster University Hamilton Canada Department of Clinical Epidemiology Biostatistics McMaster University Hamilton Canada Department of Medicine University of Ottawa Ottawa Canada Department of Medicine University of Alberta Edmonton Canada Department of Surgery University of Saskatchewan Saskatoon Canada Program of Critical Care Medicine University of British Columbia Vancouver Canada Department of Medicine University of Toronto Toronto Canada See Appendix Correspondence Deborah Cook debcook@mcmaster.ca Received 7 September 2001 Accepted 10 September 2001 Published 26 September 2001 Critical Care 2001 5 336-342 2001 Cook et al. licensee BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X See Commentaries page 277 Abstract Background Venous thromboembolism VTE confers considerable morbidity and mortality in hospitalized patients although few studies have focused on the critically ill population. The objective of this study was to understand current approaches to the prevention and diagnosis of deep venous thrombosis DVT and pulmonary embolism PE among patients in the intensive care unit ICU . Design Mailed self-administered survey of ICU Directors in Canadian university affiliated hospitals. Results Of 29 ICU Directors approached 29 100 participated representing 44 ICUs and 681 ICU beds across Canada. VTE prophylaxis is primarily determined by individual ICU clinicians 20 29 69.0 or with a hematology consultation for challenging patients 9 29 31.0 . Decisions are usually made on a case-by-case basis 18 29 62.1 rather than by preprinted orders 5 29 17.2 institutional policies 6 29 20.7 or formal practice guidelines 2 29 6.9 . .