PMID- 32593592
OWN - NLM
STAT- MEDLINE
DCOM- 20211028
LR  - 20220531
IS  - 2603-6479 (Electronic)
IS  - 2603-6479 (Linking)
VI  - 35
IP  - 4
DP  - 2020 Jul-Aug
TI  - [Prevention of thromboembolic disease in elderly patients admitted to medical 
      wards].
PG  - 209-215
LID - S2603-6479(20)30058-0 [pii]
LID - 10.1016/j.jhqr.2019.11.006 [doi]
AB  - OBJECTIVES: To determine the suitability of the prevention of thromboembolic 
      disease in elderly patients admitted to medical departments, as well as some 
      associated factors, such as the measures required in order to improve quality and 
      safety. PATIENTS AND METHODS: A retrospective study in a tertiary level hospital 
      that included elderly patients that were admitted to medical departments. A 
      simple, non-proportional, randomised sample was used, stratified by department. 
      The risk was measured using the Padua prediction model and the risk assessment 
      model of the International Medical Prevention Registry on Venous Thromboembolism 
      (IMPROVE) adjusting depending on the number of discharges. A Lot Quality 
      Assurance Sampling (LQAS) plan was used with three levels, good, (standard 95%, 
      threshold 70%), acceptable (standard 95%, threshold 50%), and not acceptable. 
      RESULTS: A total of 72 cases from 8 departments were evaluated. Just over half 
      (51.4%) of patients had a high risk of thromboembolic disease (Padua>/=4), and 
      23.6% of bleeding (IMPROVE>/=7). Besides the advanced age, the adjusted scores were 
      particularly due to cancer (22%) and reduced mobility (19%) for Padua, and male 
      gender (13%) and renal failure (12%) for IMPROVE. The adjusted overall 
      suitability was 57.5% (95%CI: +/-19.0%). The OR for suitable conduct on not 
      starting medication, 1.56 (95%CI: 1.07-2.26). The suitability by department was 
      not uniform: all the lots were acceptable, in 3 with level "good" and in 5 with 
      "acceptable". CONCLUSIONS: The suitability of thromboembolic prophylaxis in the 
      study hospital maintains acceptable levels, although not homogeneous. There is an 
      opportunity for improvement that must be taken. The data obtained may help in 
      deciding interventions, with LQAS being useful to optimise the evaluation effort.
CI  - Copyright (c) 2020 FECA. Publicado por Elsevier Espana, S.L.U. All rights reserved.
FAU - Lopez-Picazo Ferrer, J J
AU  - Lopez-Picazo Ferrer JJ
AD  - Unidad de Calidad Asistencial, Hospital Clinico Universitario Virgen de la 
      Arrixaca, Area 1 Murcia-Oeste, El Palmar, Murcia, Espana. Electronic address: 
      julioj.lopez-picazo@carm.es.
FAU - Vidal-Abarca Gutierrez, I
AU  - Vidal-Abarca Gutierrez I
AD  - Unidad de Calidad Asistencial, Hospital Clinico Universitario Virgen de la 
      Arrixaca, Area 1 Murcia-Oeste, El Palmar, Murcia, Espana.
FAU - Moreno Lopez, A B
AU  - Moreno Lopez AB
AD  - Unidad de Calidad Asistencial, Hospital Clinico Universitario Virgen de la 
      Arrixaca, Area 1 Murcia-Oeste, El Palmar, Murcia, Espana.
LA  - spa
PT  - Journal Article
PT  - Randomized Controlled Trial
TT  - Adecuacion de la profilaxis tromboembolica en pacientes de edad avanzada 
      hospitalizados en servicios medicos de un hospital de tercer nivel.
DEP - 20200624
PL  - Spain
TA  - J Healthc Qual Res
JT  - Journal of healthcare quality research
JID - 101735273
SB  - IM
MH  - Aged
MH  - Hospitalization
MH  - Humans
MH  - *Lot Quality Assurance Sampling
MH  - Male
MH  - Retrospective Studies
MH  - Tertiary Care Centers
MH  - *Venous Thromboembolism/epidemiology/prevention & control
OTO - NOTNLM
OT  - Adecuacion
OT  - Anciano
OT  - Calidad asistencial
OT  - Elderly
OT  - Enfermedad tromboembolica venosa
OT  - Hospital
OT  - Profilaxis
OT  - Prophylaxis
OT  - Quality health care
OT  - Suitability
OT  - Venous thromboembolic disease
EDAT- 2020/07/01 06:00
MHDA- 2021/10/29 06:00
CRDT- 2020/06/29 06:00
PHST- 2019/09/12 00:00 [received]
PHST- 2019/11/22 00:00 [revised]
PHST- 2019/11/22 00:00 [accepted]
PHST- 2020/07/01 06:00 [pubmed]
PHST- 2021/10/29 06:00 [medline]
PHST- 2020/06/29 06:00 [entrez]
AID - S2603-6479(20)30058-0 [pii]
AID - 10.1016/j.jhqr.2019.11.006 [doi]
PST - ppublish
SO  - J Healthc Qual Res. 2020 Jul-Aug;35(4):209-215. doi: 10.1016/j.jhqr.2019.11.006. 
      Epub 2020 Jun 24.