Venous thromboembolism risk & prophylaxis in the acute hospital care setting (ENDORSE), a multinational cross-sectional study: results from the Indian subset data
Venous thromboembolism (VTE) is a major health problem with substantial morbidity and mortality. It is often underdiagnosed due to lack of information on VTE risk and prophylaxis. The ENDORSE (Epidemiologic International Day for the Evaluation of Patients at Risk for Venous Thromboembolism in the Ac...
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Published in | Indian journal of medical research (New Delhi, India : 1994) Vol. 136; no. 1; pp. 60 - 67 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
India
Medknow Publications and Media Pvt. Ltd
01.07.2012
Medknow Publications & Media Pvt Ltd |
Subjects | |
Online Access | Get full text |
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Summary: | Venous thromboembolism (VTE) is a major health problem with substantial morbidity and mortality. It is often underdiagnosed due to lack of information on VTE risk and prophylaxis. The ENDORSE (Epidemiologic International Day for the Evaluation of Patients at Risk for Venous Thromboembolism in the Acute Hospital Care Setting) study aimed to assess the prevalence of VTE risk in acute hospital care setting and proportion of at-risk patients receiving effective prophylaxis. We present here the risk factor profile and prophylaxis pattern of hospitalized patients who participated in ENDORSE study in India.
In this cross-sectional study in India, all patients (surgical >18 yr, medical >40 yr) from 10 hospitals were retrospectively studied. Demographics, VTE risk factors and prophylaxis patterns were assessed according to the 2004 American College of Chest Physicians (ACCP) evidence-based consensus guidelines.
We recruited 2058 patients (1110 surgical, 948 medical) from 10 randomly selected hospitals in India between August 2006 and January 2007. According to the ACCP criteria, 1104 (53.6%) patients [surgical 680 (61.3%), medical 424 (44.7%)] were at-risk for VTE. Chronic pulmonary disease/heart failure and complete immobilization were the most common risk factors before and during hospitalization, respectively. In India, 16.3 per cent surgical and 19.1 per cent medical at-risk patients received ACCP-recommended thromboprophylaxis.
Despite a similar proportion of at-risk hospitalized patients in India and other participating countries, there was major underutilization of prophylaxis in India. It necessitates increasing awareness about VTE risk and ensuring appropriate thromboprophylaxis. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ENDORSE-India investigators: Dr Vinod Agnihotri, Holy Family Hospital, New Delhi; Dr A. Balraj, Chennai Port Trust Hospital, Chennai; Dr Amiya Chakraborty, St John's Medical College Hospital, Bangalore; Dr Sanjay Desai, MS Ramaiah Hospital, Bangalore; Dr Antony Elangovan, Southern Railway Hospital, Chennai; Dr Partha Goswami, Woodlands Medical Centre Ltd., Kolkata; Dr Emmanuel Rupert, Rabindranath Tagore International Institute of Cardiac Science, Kolkata; Dr Kedar Toraskar, Prince Aly Khan Hospital, Mumbai; Dr Kakollu Venkatesh, Gandhi Hospital, Hyderabad |
ISSN: | 0971-5916 0975-9174 |