Objective:
To evaluate the profile of hospitalized patients with risk of VTE at Sanglah Hospital Denpasar Bali.
Methods:
This study design was descriptive research. The sample was medically ill and surgical patients with the risk of VTE, being hospitalized at Sanglah Hospital Denpasar, Bali Indonesia.
Results:
The most VTE risk factors for 92 medically ill patients were 79.3% with reduced mobility for ≥ 72 hours and for 31 surgical patients were 77.4% with major surgery (> 45 minutes). Both medical and surgical patients have 2 to 4 VTE risk factors. Of the 123 patients who participated in this study, 6 patients received thromboprophylaxis (83.33% medically ill patients), while 117 patients did not receive thromboprophylaxis. The reason for not giving thromboprophylaxis was 35.04% due to contraindications, and 64.96% of patients without indications for thromboprophylaxis. The contraindications of giving thromboprophylaxis were 46.34% due to thrombocytopenia, 31.71% bleeding, 19.51% impaired renal function, and 2.44% hemostasis disorders. The proportion of medical and surgical patients with VTE risk and receiving thromboprophylaxis was 9.43% and 3.45% respectively. The choice of pharmacological thromboprophylaxis used in this study is Unfractionated Heparin (UFH) and Low Molecular Weight Heparin (LMWH).
Conclusion:
The most frequent risk factor found in medically ill patients was immobilization and major surgical procedure for surgical patients. The thromboprophylaxis given is medical thromboprophylaxis with UFH and LMWH.
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