Vénásthromboembolia-kockázati kérdoív kórházban kezelt sebészeti és nem sebészeti betegek részére .,A thromboemboliák kockázatá nak csökkentése és kezelése" címu, 4. magyar antithromboticus irányelvben

Marianna Dávid, Hajna Losonczy, Miklós Udvardy, Zoltán Boda, György Blaskó, Attila Tar, György Pfliegler

Research output: Review article

2 Citations (Scopus)

Abstract

A large proportion of hospitalized surgical and medical patients are at risk for venous thromboembolism. Depending on the type of surgical intervention, venous thrombosis develops in 15-60% of surgical patients without prophylaxis. Although venous thromboembolism is most often considered to be associated with recent surgery or trauma, 50 to 70% of symptomatic thromboembolic events and 70 to 80% of fatal pulmonary embolisms occur in nonsurgical patients. International and national registries show that the majority of at-risk surgical patients actually received the appropriate thromboembolic prophylaxis. However, despite of international and national recommendations, prophylaxis was not provided for a large proportion of at-risk medical patients. The rate of medical patients receiving prophylaxis should be increased, and appropriate thrombosis prophylaxis should be offered to at-risk medical patients. The thrombosis risk assessment is an important tool to identify patients at increased risk for venous thromboembolism, to simplify decision making on prophylaxis administration, and to improve the adherence to guidelines. When the risk is recognized, if there is no contraindication, prophylaxis should be ordered. The 4th Hungarian Antithrombotic Guideline entitled "Risk reduction and treatment of thromboembolism" calls attention to the importance of risk assessment and for the first time it includes and recommends risk assessment models for hospitalized surgical and medical patients. The risk assessment models are presented and the evidence based data for the different risk factors included in these models are reviewed.

Translated title of the contributionRisk assessment model for venous thromboembolism in hospitalized surgical and non-surgical patients in the 4th Hungarian Antithrombotic Guidelines entitled "diminution and Treatment of Venous Thromboembolism"
Original languageHungarian
Pages (from-to)1365-1374
Number of pages10
JournalOrvosi hetilap
Volume151
Issue number34
DOIs
Publication statusPublished - aug. 1 2010

Keywords

  • risk assessment
  • thrombosis prophylaxis
  • thrombosis risk
  • venous thromboembolism

ASJC Scopus subject areas

  • Medicine(all)

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