Evidence map›Paper›PMID 31230035›Full record

Observational studyBMJ open2019

Venous thromboembolism incidence in the Ireland east hospital group: a retrospective 22-month observational study.

Barry Kevane, Mary Day, Noirin Bannon, Leo Lawler, Tomas Breslin, Claire Andrews, Howard Johnson, Michael Fitzpatrick, Karen Murphy, Olivia Mason and 3 more

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Out With the Old, in With the New: Age-Related D-Dimer Thresholds.International journal of laboratory hematology · 2026
    Article
  4. Observational
4 · The record

Corrections and comments

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

13 authors.

Barry KevaneDepartment of Haematology, Mater Misericordiae University Hospital, Dublin, Ireland.
Mary DayIreland East Hospital Group, Dublin, Ireland.
Noirin BannonIreland East Hospital Group, Dublin, Ireland.
Leo LawlerIreland East Hospital Group, Dublin, Ireland.
Tomas BreslinIreland East Hospital Group, Dublin, Ireland.
Claire AndrewsDepartment of Haematology, Mater Misericordiae University Hospital, Dublin, Ireland.
Howard JohnsonIreland East Hospital Group, Dublin, Ireland.
Michael FitzpatrickIreland East Hospital Group, Dublin, Ireland.
Karen MurphyIreland East Hospital Group, Dublin, Ireland.
Olivia MasonCentre for Support and Training in Analysis and Research (CSTAR), University College Dublin, Dublin, Ireland.
Annemarie O'NeillIreland East Hospital Group, Dublin, Ireland.
Fionnuala DonohueHealth Intelligence Unit, R&D, Health Service Executive, Dublin, Ireland.
Fionnuala Ní ÁinleDepartment of Haematology, Mater Misericordiae University Hospital, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the incidence of venous thromboembolism (VTE) and the incidence of hospital-acquired VTE (HA-VTE) arising within the population served by the Ireland East Hospital Group (IEHG).

design/home/user/Documents/Sathish Kumar G/RFO/June/21-06-2019/bmjopen_iss_9_7_20190621_1/ A retrospective observational study was conducted using hospital discharge data obtained from the hospital inpatient enquiry data reporting system. In this system, VTE events recorded as 'primary diagnosis' represented the reason for initial hospital admission, whereas VTE recorded as a 'secondary diagnosis' occurred following admission and were therefore used as an approximation of HA-VTE. These data were used to estimate the overall incidence of VTE and the proportion of these events which were hospital-acquired.

settingThe IEHG is the largest hospital group in the Irish healthcare system and serves a population of over 1 million individuals.

participantsData were generated from records pertaining to the 2727 patient admission episodes where a diagnosis of VTE was made during the 22-month study period.

resultsDuring the study period, 2727 VTE events were recorded within the IEHG (which serves a population of 1 036 279) corresponding to an incidence of 1.44 (95% CI 1.36 to 1.51) per 1000 per annum. 1273 (47%) of VTE events were recorded as secondary VTE. The incidence of VTE was highest among individuals over 85 years of age (16.03 per 1000;95% CI 12.81 to 19.26) and was more common following emergency hospital admission.

conclusionThese data suggest that HA-VTE accounts for at least 47% of all VTE events arising within a hospital group serving a population of over 1 million individuals within the Ireland. Given that HA-VTE is a well-recognised source of (potentially preventable) hospital deaths, these findings provide a compelling argument for prioritising strategies directed at reducing the risk of VTE among hospital patients served by the IEHG and within the Ireland as a whole.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHospitalizationHumansIncidenceIrelandMaleMiddle AgedRetrospective StudiesRisk FactorsVenous ThromboembolismYoung Adultanticoagulationquality in health carethromboembolism

Identifiers

PMID31230035
PMCPMC6596982

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.