Venous Thromboembolism Prophylaxis in Coronary Care Unit in a Cardiology Centre  (A Clinical Audit & Re-Audit)

Mohsin Saif; Fahd Ur Rahman; Shoaib Iqbal Shafi; Sikandar Azam Khan; Anwar Hussain; Husnain Yousaf; Javeria Kamran; Muhammad Bilal Siddique; Waleed Hassan; Daniyal Ahmad Kamal

doi:10.51253/pafmj.v72iSUPPL-3.9421

Authors

Mohsin Saif Armed Force Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan
Fahd Ur Rahman Armed Force Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan
Shoaib Iqbal Shafi Armed Force Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Science (NUMS) Rawalpindi Pakistan
Sikandar Azam Khan Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Anwar Hussain Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Husnain Yousaf Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Javeria Kamran Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Muhammad Bilal Siddique Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Waleed Hassan Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Daniyal Ahmad Kamal Armed Forces Institute of Cardiology/National Institute of Heart Diseases (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi, Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72iSUPPL-3.9421

Keywords:

Audit, Incidence, Prophylaxis, Venous thromboembolism (VTE)

Abstract

Objective: To assess the adherence of current practice of VTE prophylaxis prescription in patients in Armed Forces Institute of Cardiology (AFIC) and compare it to NICE guidelines.

Study Design: We designed a classic audit of assessing current practice against guidelines.

Place and Duration of Study: AFIC/NIHD, Rawalpindi, from Jan 2021 to Jul 2021.

Methodology: Two audits cycles were performed 6 months apart. Each cycle contained of two-point prevalence days, two weeks apart. 50 patients were evaluated each day making a total of 100 patients per cycle. Data was collected on preformed proformas. Repeat audit cycle was performed after 6 months similarly.

Results: In first audit cycle, we assessed n=100 patients. (n=81; 81%) patients were prescribed VTE prophylaxis within 48 hours of admission and n=19; 19% patients were not prescribed any form of VTE prophylaxis. n=11; 11% patients were getting incorrect dosage of VTE according to weight and renal function. Following education and awareness, second audit cycle was repeated after six months. Second cycle showed n=94; 94% patients were correctly receiving VTE prophylaxis. 100% of patients were getting correct dosage of VTE in second cycle.

Conclusion: Repeat audit cycle showed significant improvements in total adherence to VTE protocols and also improvements in prescription of correct dosage.