VTE Prophylaxis in Post-Acute Care – RPTH Journal
RPTH Journal shared a post on LinkedIn about a recent article by Pil Joo et al., adding:
“VTE prophylaxis in post-acute care: are we doing the right thing?
VTE prophylaxis is well established in acute care.
But what about the post-acute phase, when patients remain hospitalised after their acute needs have been addressed?
Evidence in this setting is surprisingly scarce.
A new study in RPTH Journal characterised VTE prophylaxis practices and outcomes in transitional care units (TCUs) at a Canadian tertiary care hospital.
Key findings from 1,218 patients:
- 72% received VTE prophylaxis during their TCU stay, primarily enoxaparin (85%)
- 75% of those remained on prophylaxis for their entire admission
- 90-day PE and DVT incidence were both low (0.8% and 0.9%, respectively) and similar between prophylaxis and non-prophylaxis groups
- Bleeding complications were equally rare and comparable between groups
The reality is that most post-acute care patients are elderly, with higher bleeding risk and lower mobility, yet they are routinely anticoagulated based on protocols designed for acute care.”
Title: Venous thromboembolism prophylaxis in postacute care units: a health record review
Authors: Pil Joo, Kathleen Qu, Jacob Stasso, Tenaaz Irani, Sanmeet Chahal, Tim Ramsay, Lana Castellucci
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