Thực trạng dự phòng thuyên tắc huyết khối tĩnh mạch sau phẫu thuật cắt khối u vùng bụng - chậu trên bệnh nhân ung thư tại Viện Phẫu thuật Tiêu hóa - Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To analyze the current status of venous thromboembolism prevention after abdominal - pelvic tumor resection among cancer patients at the Institute of Gastroenterology Surgery - 108 Military Central Hospital. Subject and method: A prospective, descriptive, observational study of all cancer patients undergoing abdominal or pelvic tumor resection at the Institute of Gastroenterology Surgery - 108 Military Central Hospital, from 1^st April 2023 to 20^th April 2023. Result: The study was conducted on 86 patients. The proportion of patients using venous thromboembolism prophylaxis only accounted for 30.2% and all of which used pharmacologic thromboprophylaxis as monotherapy. In the group of patients receiving prophylaxis, all were selected appropriate prophylaxis with enoxaparin, of which the dose, time of initiation, and minimum duration of prophylaxis were consistent were 84.6%, 0% and 23.1%, respectively. All patients in the non-prophylactic group were assessed as having inadequate prophylaxis. Conclusion: Venous thromboembolism prophylaxis is not yet routine with delayed initiation of prophylactic drugs and, in most cases, shorter duration of prophylaxis than recommended. It is necessary to explore the related barriers and then propose solutions to improve the quality of treatment