Validation of a clinical guideline on prevention of venous thromboembolism in medical inpatients: a before-and-after study with systematic ultrasound examination

Journal of Internal Medicine
J LabarereG Pernod

Abstract

Clinical practice guidelines on prevention of venous thromboembolism in medical inpatients have been implemented in various settings, although few studies have assessed their impact on venous thromboembolism events. To determine whether the implementation of a locally developed guideline is followed by changes in the rate of deep vein thrombosis. A before-and-after study consisting in two "1-day" cross-sectional studies. Thirteen adult medical wards in a teaching hospital in France. All the patients hospitalized on the day of the cross-sectional study. A clinical guideline integrating scientific evidence and data on target medical providers' practices was developed by a local expert panel and implemented through a multifaceted intervention. Prevalence of deep vein thrombosis detected by systematic ultrasound examination. The study included 338 patients in the preintervention sample and 340 in the postintervention sample. The prevalence of deep vein thrombosis decreased from 9.5% (95% CI, 6.6-13.1) in the preintervention sample to 3.2% (95% CI, 1.6-5.7) in the postintervention sample (P < 0.01). The decrease in the rate of thrombosis involved all deep veins of the lower limbs and remained significant after adjustment for risk fa...Continue Reading

References

Oct 1, 1988·Archives of Internal Medicine·J T Philbrick, D M Becker
Oct 1, 1982·Australian and New Zealand Journal of Medicine·J F CadeA E Stubbs
Apr 1, 1981·Scottish Medical Journal·J J BelchC R Prentice
Jul 20, 1996·Lancet·J F Bergmann, C Caulin
Oct 27, 1999·JAMA : the Journal of the American Medical Association·M D CabanaH R Rubin
Jun 6, 2000·JAMA : the Journal of the American Medical Association·P DurieuxE Lepage
Feb 7, 2001·Chest·W H GeertsH B Wheeler
Jul 17, 2001·Annals of Internal Medicine·A R LocalioS E Kimmel
Oct 23, 2002·Journal of General Internal Medicine·Drahomir AujeskyJacques Cornuz
Mar 12, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A EliasF Joffre

❮ Previous
Next ❯

Citations

Sep 26, 2006·Journal of General Internal Medicine·Jose LabarereUNKNOWN Association pour la Promotion de l'Angiologie Hospitalière
Oct 7, 2010·International Journal of Evidence-based Healthcare·Jennifer MedvesPaola Durando
Nov 23, 2007·International Journal of Health Care Quality Assurance·J Labarere, J-L Bosson
May 5, 2012·Journal of Women's Health·Ekwutosi M OkorohAndra H James
Nov 22, 2008·Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing·Stephanie Le SageJessica D Emed
Dec 12, 2007·Journal of the American Geriatrics Society·Elodie SellierUNKNOWN Association pour la Promotion de l'Angiologie Hospitalière
Aug 27, 2005·Thrombosis Research·Davide Imberti, Domenico Prisco
Dec 8, 2016·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Timothy I Morgenthaler, Vilmarie Rodriguez
Jun 9, 2005·The Annals of Pharmacotherapy·Donald F BrophyA Scott Mathis
Feb 24, 2006·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Jean-Luc Bosson, Jose Labarere
Nov 22, 2008·Drugs & Aging·Parminder S Chaggar, Kevin S Channer
Jul 24, 2010·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·William L GalanterBruce Lambert
Nov 10, 2005·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Sara D Brouse

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.