Evidence map›Paper›PMID 42086272›Full record

ArticleBMJ open2026

Compliance with current VTE prophylaxis guidelines and associated factors among admitted medical inpatients in Mehal Meda General Hospital, North Shewa Zone, Ethiopia: a cross-sectional study.

Tariku Yitbarek, Nigusie Tadesse, Endalew Minwuy Andarge, Yonas Fissha Adem

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Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Tariku YitbarekMehal Meda Woreda Health Office, Mehal Meda, Ethiopia.
Nigusie TadesseDepartment of Public Health, Woldia University, Woldia, Ethiopia.
Endalew Minwuy AndargeDepartment of Public Health, Debre Berhan University, Debre Berhan, Ethiopia.ORCID http://orcid.org/0009-0004-7285-2971
Yonas Fissha AdemDepartment of Public Health, Dessie College of Health Science, Dessie, Ethiopia yonasfissha029@gmail.com.ORCID http://orcid.org/0000-0002-4818-8087

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesVenous thromboembolism (VTE) remains highly prevalent among medically ill patients and often leads to increased mortality. Therefore, this study aimed to assess compliance with VTE prophylaxis guidelines and associated factors among admitted medical inpatients at Mehal Meda General Hospital, North Shewa Zone, Ethiopia, in 2024.

designAn institution-based cross-sectional study was conducted. Data were collected via medical chart review and interview-administered questionnaires, entered into EPI Data V.4.6, and exported to SPSS V.26 for analysis. Data were presented using frequency tables and graphs. Binary logistic regression was used to identify factors associated with compliance with VTE prophylaxis. Variables from the bivariable logistic regression analysis with a value of p<0.3 were included in the multivariable logistic regression model. A value of p<0.05 and an adjusted OR (AOR) with a 95% CI were used to identify factors associated with compliance with VTE prophylaxis. Model fitness was assessed using the Hosmer and Lemeshow goodness-of-fit test.

settingThe study was conducted at Mehal Meda General Hospital.

participantsThe study was conducted among 365 admitted medical inpatients. The study participants were selected using a systematic random sampling technique.

resultsThe overall proportion of compliance with VTE prophylaxis guidelines among admitted medical inpatients was 24.2% (95% CI 19.9% to 28.8%). In this study, being a patient with heart failure (AOR = 6.8, 95% CI 3.7 to 12.54) and being a patient with diabetes (AOR = 3.98, 95% CI 2.2 to 7.2) were positively associated with compliance with VTE prophylaxis.

conclusionThe overall proportion of compliance with VTE prophylaxis guidelines among admitted medical inpatients was low compared with previous studies. Heart failure and diabetes were positively associated with compliance with VTE prophylaxis guidelines. Therefore, greater attention should be given to both, patients with diabetes and patients with heart failure.

Indexed as

Guideline AdherenceInpatientsVenous ThromboembolismAdultAgedAnticoagulantsCross-Sectional StudiesEthiopiaFemaleHospitals, GeneralHumansLogistic ModelsMaleMiddle AgedPractice Guidelines as TopicRisk FactorsAnticoagulantsCardiovascular DiseaseCoronary heart diseaseThromboembolism

Identifiers

PMID42086272
PMCPMC13150913

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