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Prospective follow-up of thromboembolism prevention in immobilized psychiatric inpatients

Publication at Faculty of Medicine in Hradec Králové |
2010

Abstract

We followed individuals with a reduced mobility hospitalized at an acute psychiatric admission ward in a prospective way. Forty-four patients (women N = 9) with a reduced locomotion for eight hours at least presented the study sample.

VTE prevention in the naturalistic setting was compared to the previously published guidelines for VTE control in every case. The observed VTE prevention was found to be in accordance with the published guidelines in 55% of cases (N = 24).

Low molecular weight heparin was applied to 25% of immobilized patients (N = 11), according to their grade of VTE risk. After the analysis we adjusted the VTE prevention guidelines based on our clinical experience, knowledge on the observed cases, and new literary evidence.

The new version of recommended procedures is more simple, and makes the decision on VTE prevention in hospitalized psychiatric patients easier.