Thực hành dự phòng thuyên tắc huyết khối tĩnh mạch trên bệnh nhân phẫu thuật chỉnh hình tại Bệnh viện Đa khoa Xanh Pôn

Abstract

Objective: To assess the appropriateness of venous thromboembolism (VTE) prophylaxis practices in orthopedic surgery patients. Subject and method: A prospective, cross-sectional descriptive study was conducted on all orthopedic surgery patients at the Department of Lower Limb Orthopedic Trauma and Pediatric Orthopedics from March 01 to April 30, 2025. Result: Among 195 patients included, approximately 85% received appropriate prophylaxis, with this rate reaching 95% in major orthopedic surgeries. Pharmacological prophylaxis was the only method applied. The majority of patients were prescribed appropriate prophylactic medication during hospitalization (87,1%), whereas inappropriate practices mainly occurred at discharge, with 71.8% of patients being prescribed aspirin inappropriately. Regarding the overall appropriateness, up to 41% of patients received inappropriate prophylaxis in the entire study population. Conclusion: VTE prophylaxis practice in the department was relatively good, however, it has not been fully optimized according to the recommendations, particularly in discharge prescriptions. Appropriate interventions are needed to standardize practices and enhance prophylaxis effectiveness.