PA-driven VTE risk assessment improves compliance with recommended prophylaxis

JAAPA : Official Journal of the American Academy of Physician Assistants
Marc MooteDarrell Campbell

Abstract

Venous thromboembolism (VTE) is a major cause of morbidity and mortality in hospitalized patients, particularly surgical patients. We hypothesize that PAs are well-positioned to assist health systems with implementation of efforts to reduce the rates of this in-hospital complication and increase adherence to published standards for VTE prophylaxis. We conducted a retrospective cohort study of general surgical patients who underwent an operation at the University of Michigan between July 2005 and June 2007. The PAs in the Department of Surgery implemented a VTE assessment and prophylaxis intervention in June 2006. Preintervention VTE risk scores were calculated using patient demographic information, operating room data, and diagnosis codes from the International Statistical Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). Those calculated scores were then tested on patients who had a VTE risk score documented by PAs. Postintervention VTE was determined using ICD-9-CM diagnosis codes for deep vein thrombosis (DVT) or pulmonary embolism (PE) and identified as "acquired in hospital" or readmitted with a principal diagnosis of DVT or PE within 30 days following surgery. We then compared the frequency wit...Continue Reading

References

Oct 25, 1991·Annals of Internal Medicine·F A AndersonN A Patwardhan
Aug 1, 1982·Archives of Surgery·S Conti, M Daschbach
May 19, 2005·Thrombosis Research·Aaron B HolleyJeffrey L Jackson
May 19, 2005·Disease-a-month : DM·Joseph A Caprini
Oct 26, 2005·Journal of Vascular Surgery·Joseph A CapriniUNKNOWN NABOR Steering Committee
Apr 2, 2010·American Journal of Preventive Medicine·Gary E RaskobRichard H White

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Citations

Oct 18, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·J N RodriguesA Raurell
Nov 8, 2011·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Timothy A SchiroThomas Leonard
May 11, 2011·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Marc MooteBarbara Todd
Dec 15, 2015·JAAPA : Official Journal of the American Academy of Physician Assistants·David J Bunnell
Sep 4, 2019·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Marc MooteBarbara Todd
Oct 31, 2019·International Journal of Audiology·Brittan A BarkerCaitlyn R Ritter

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