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The AVAIL ME Extension: A multinational Middle Eastern survey of venous thromboembolism risk and prophylaxis

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dc.contributor.author Mokhtari M.
dc.contributor.author Salameh P.
dc.contributor.author Kouchek M.
dc.contributor.author Kashani B.S.
dc.contributor.author Taher A.
dc.contributor.author Waked M.
dc.contributor.editor
dc.date Jul-2011
dc.date.accessioned 2017-10-05T15:37:56Z
dc.date.available 2017-10-05T15:37:56Z
dc.date.issued 2011
dc.identifier 10.1111/j.1538-7836.2011.04336.x
dc.identifier.isbn
dc.identifier.issn 15387933
dc.identifier.uri http://hdl.handle.net/10938/16037
dc.description.abstract Background:Venous thromboembolism (VTE) is a major worldwide problem. Objectives:The primary objectives of this survey were to identify patients at risk for VTE, to define the rate of patients receiving appropriate VTE prophylaxis and to examine the frequency of the presence of guidelines and their application. Patients and methods:Ten countries, 101 hospitals and a total of 4983 patients were included in this multinational cross-sectional survey. Standardized case report forms were filled out by trained individuals on one predefined day. Risks were categorized according to the Caprini Risk Assessment Model. Logistic regressions were carried out to assess factors that determined VTE prophylaxis. Results:Of 4983 patients, 3368 (68percent) and 1615 (32percent) were surgical and medical, respectively. Seven hundred and seventy-two (15.5percent) were considered to be at low risk, 1001 (20percent) at moderate risk, 1289 (26percent) at high risk and 1921 (38.5percent) at very high risk for VTE. Of 3575 (72percent) patients who were eligible to receive VTE prophylaxis, 2747 (77percent) received any drug prophylaxis. Among these patients 720-1056 (68percent) and 2027-2519 (80percent) were medical and surgical patients, respectively. The overall compliance with ACCP guidelines was 38percent, being 24percent for medical patients and 44percent for surgical patients. Conclusions: The results of this large multinational survey, although indicating overall improvement in VTE prophylaxis, identify a considerable number of patients who either did not receive any VTE prophylaxis or received it inappropriately. Although more medical patients were at risk for VTE, they were given prophylaxis less frequently than surgical patients. Concordance with VTE prophylaxis guidelines was higher in surgical patients, but overall application of these tools was unacceptably low. © 2011 International Society on Thrombosis and Haemostasis.
dc.format.extent
dc.format.extent Pages: (1340-1349)
dc.language English
dc.publisher MALDEN
dc.relation.ispartof Publication Name: Journal of Thrombosis and Haemostasis; Publication Year: 2011; Volume: 9; no. 7; Pages: (1340-1349);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title The AVAIL ME Extension: A multinational Middle Eastern survey of venous thromboembolism risk and prophylaxis
dc.type Article
dc.contributor.affiliation Mokhtari, M., Shahid Beheshti University of Medical Sciences, Tehran, Iran
dc.contributor.affiliation Salameh, P., Lebanese University, Faculties of Pharmacy and of Public Health II, Hadath, Lebanon
dc.contributor.affiliation Kouchek, M., Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
dc.contributor.affiliation Kashani, B.S., Masih Daneshvari Hospital, Shahid Beheshti Universiy of Medical Sciences, Tehran, Iran
dc.contributor.affiliation Taher, A., American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Waked, M., Balamand University and St George Hospital, Beirut, Lebanon
dc.contributor.authorAddress Salameh, P.; Jdeidet El Meten, Chalet Suisse Street,Ramza Azzam bldg, 5th floor, Beirut 00961, Lebanon; email: psalameh@ul.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Internal Medicine;
dc.contributor.authorDepartment Internal Medicine
dc.contributor.authorDivision
dc.contributor.authorEmail psalameh@ul.edu.lb
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Mokhtari, M
dc.contributor.authorInitials Salameh, P
dc.contributor.authorInitials Kouchek, M
dc.contributor.authorInitials Kashani, BS
dc.contributor.authorInitials Taher, A
dc.contributor.authorInitials Waked, M
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Salameh, P (reprint author), Chalet Suisse St,Ramza Azzam Bldg,5th Floor, Beirut 00961, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 6
dc.description.citedTotWOSCount 5
dc.description.citedWOSCount 5
dc.format.extentCount 10
dc.identifier.articleNo
dc.identifier.coden JTHOA
dc.identifier.pubmedID 21605327
dc.identifier.scopusID 79959821583
dc.identifier.url
dc.publisher.address COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA
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dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr J. Thromb. Haemost.
dc.relation.ispartOfIssue 7
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Journal of Thrombosis and Haemostasis
dc.relation.ispartofPubTitleAbbr J. Thromb. Haemost.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 9
dc.source.ID WOS:000292336600009
dc.type.publication Journal
dc.subject.otherAuthKeyword Guidelines
dc.subject.otherAuthKeyword Middle East
dc.subject.otherAuthKeyword Prophylaxis
dc.subject.otherAuthKeyword Risk assessment
dc.subject.otherAuthKeyword Venous thromboembolism
dc.subject.otherChemCAS fondaparinux, 104993-28-4, 114870-03-0
dc.subject.otherChemCAS heparin, 37187-54-5, 8057-48-5, 8065-01-8, 9005-48-5
dc.subject.otherIndex anticoagulant agent
dc.subject.otherIndex antineoplastic agent
dc.subject.otherIndex antivitamin K
dc.subject.otherIndex fondaparinux
dc.subject.otherIndex heparin
dc.subject.otherIndex low molecular weight heparin
dc.subject.otherIndex adult
dc.subject.otherIndex article
dc.subject.otherIndex cancer chemotherapy
dc.subject.otherIndex cancer hormone therapy
dc.subject.otherIndex compression bandage
dc.subject.otherIndex cross-sectional study
dc.subject.otherIndex drug contraindication
dc.subject.otherIndex female
dc.subject.otherIndex high risk patient
dc.subject.otherIndex human
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex patient compliance
dc.subject.otherIndex practice guideline
dc.subject.otherIndex priority journal
dc.subject.otherIndex risk assessment
dc.subject.otherIndex surgical patient
dc.subject.otherIndex treatment contraindication
dc.subject.otherIndex venous thromboembolism
dc.subject.otherIndex Chemoprevention
dc.subject.otherIndex Cross-Sectional Studies
dc.subject.otherIndex Data Collection
dc.subject.otherIndex Guideline Adherence
dc.subject.otherIndex Humans
dc.subject.otherIndex Middle East
dc.subject.otherIndex Postoperative Complications
dc.subject.otherIndex Risk Assessment
dc.subject.otherIndex Risk Factors
dc.subject.otherIndex Venous Thromboembolism
dc.subject.otherKeywordPlus DEEP-VEIN THROMBOSIS
dc.subject.otherKeywordPlus PULMONARY-EMBOLISM
dc.subject.otherKeywordPlus HOSPITALIZED-PATIENTS
dc.subject.otherKeywordPlus PROSPECTIVE REGISTRY
dc.subject.otherKeywordPlus SURGICAL-PATIENTS
dc.subject.otherKeywordPlus SETTING ENDORSE
dc.subject.otherKeywordPlus VTE RISK
dc.subject.otherKeywordPlus PREVENTION
dc.subject.otherKeywordPlus GUIDELINES
dc.subject.otherKeywordPlus MANAGEMENT
dc.subject.otherWOS Hematology
dc.subject.otherWOS Peripheral Vascular Disease


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