Retrospective Study to Review Patients at Risk for VTE at Hospital Discharge
An investigator initiated study exploring VTE prophylaxis at the time of hospital discharge.
|Study Design:||Observational Model: Case Control
Time Perspective: Retrospective
|Official Title:||VTE Prophylaxis Across the Continuum of Care: High Risk Patients at Hospital Discharge|
- Symptomatic PE/DVT within 90 days of hospital discharge. [ Time Frame: 90 days ] [ Designated as safety issue: No ]
|Study Start Date:||February 2008|
|Study Completion Date:||December 2011|
|Primary Completion Date:||February 2010 (Final data collection date for primary outcome measure)|
Acutely ill medical and surgical patients who were hospitalized at BWH, and at-risk for VTE, but were not treated with prophylaxis at hospital discharge.
Acutely ill medical and surgical patients who were at risk for VTE at time of hospital discharge and prescribed a prophylaxis strategy.
It appears likely that many patients will remain at risk for VTE at the time of hospital discharge. These risks will go unrecognized, and discharge prophylaxis orders will not be prescribed.
To test this hypothesis, we will perform a retrospective review of approximately 2,500 patients at Brigham and Women's Hospital at risk for VTE at the time of hospital discharge to determine what proportion received VTE prophylaxis. We will correlate the implementation of discharge VTE prophylaxis with the occurrence of symptomatic DVT and pulmonary embolism within 90 days of hospital discharge.
We will also conduct a substudy of this patient population to determine adherence to VTE prophylaxis among hospitalized patients.