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Title of Journal: J Thromb Thrombolysis

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Abbravation: Journal of Thrombosis and Thrombolysis

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Springer US

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1573-742X

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Are surgical patients at risk of venous thromboemb

Authors: Steven B Deitelzweig Jay Lin Mohamed Hussein David Battleman
Publish Date: 2009/10/01
Volume: 30, Issue: 1, Pages: 55-66
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Abstract

The US Surgical Care Improvement Project SCIP has approved two performance measures to improve venous thromboembolism VTE prevention SCIPVTE2 measures the proportion of surgery patients who received appropriate VTE prophylaxis within 24 h prior to surgery to 24 h after surgery This study assesses the current rate of achievement of SCIPVTE2 criteria using a retrospective data set of realworld surgical patients The Premier Perspective™ database which contains realworld data from 400 US hospitals was queried January 2004–December 2006 for inpatient hospital transactional billing records of surgical patients aged ≥18 years The primary outcome was the proportion of patients achieving SCIPVTE2 requirements for appropriate and timely prophylaxis as per the SCIPVTE2 algorithm Of the 149785 patients included 562 received appropriate prophylaxis and 527 achieved the SCIPVTE2 performance measure for both appropriate and timely prophylaxis To conclude this study highlights that VTE prophylaxis currently only meets SCIPVTE2 requirements in approximately half of realworld surgical patients The use of retrospective analyses such as this hospital billing data analysis may assist hospitals in measuring their current and future performance in VTE prevention

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