Evidence map›Paper›PMID 17554579›Full record

ArticleIrish journal of medical science2007

Risk-based evaluation of thromboprophylaxis among surgical inpatients: are low risk patients treated unnecessarily?

G Roche-Nagle, J Curran, D J Bouchier-Hayes, S Tierney

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Article in Irish journal of medical science, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

G Roche-NagleDepartment of Surgery, Royal College of Surgeons in Ireland and Beaumont Hospital, Dublin 9, Ireland. grnagle@rcsi.ie
J Curran
D J Bouchier-Hayes
S Tierney

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVenous thromboembolism is a common source of morbidity and mortality but a variety of preventative measures are available.

aimsTo audit the current practice of thromboprophylaxis and compare against published protocols.

methodsThree-hundred and seventy-six (376) surgical patients were surveyed prospectively. A Performa was completed recording the presence of up to 11 risk factors. A risk score was calculated and the use of specific thromboprophylatic measures identified.

resultsHeparin thromboprophylaxis was widely used, eight patients (who were on aspirin therapy) failed to receive any prophylaxis (risk factors 4-6). In addition there were 60 patients at low risk (risk score <2) received LMWH from which they were unlikely to benefit.

conclusionsThromboembolic prophylaxis is widely but unselectively applied. Adoption of a risk: benefit ratio approach should ensure those who would benefit from thromboprophylaxis are adequately treated while those in whom thromboprophylaxis is not indicated are spared unnecessary therapy.

Indexed as

Clinical ProtocolsHumansInpatientsMedical AuditPractice Guidelines as TopicProspective StudiesRisk AssessmentRisk FactorsVenous Thrombosis

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.