Effects of DVT prevention and control project in inpatients of Vascular Surgery Department

Abstract

Objective To explore the effects of deep venous thrombosis (DVT) prevention and control project on preventing DVT in inpatients of Vascular Surgery Department. Methods In June 2018, the DVT prevention and control team formed in Vascular Surgery Department of Beijing Hospital investigated the cognition of medical staff in Vascular Surgery Department on thrombosis by electronic questionnaire and built the thrombosis prevention and control management system. The cognition of medical staff on thrombosis and incidence of thrombosis in inpatients was compared before (January 2018 to June 2018) and after (July 2018 to December 2018) implementing the project. Results Before and after implementing the thrombosis prevention and control project, the utilization rate of Caprini assessment scale and was 79.27% (65/82) and 100.00% (82/82) respectively with a statistical difference (P<0.001) ; the accuracy rate of DVT prevention was 90.24% (74/82) and 98.78% (81/82) also with a statistical difference (P=0.016) ; the incidence of DVT of inpatients was 4.88% (4/82) and 0 (0/82) with a statistical difference (P=0.043) ; the implement rate of thrombosis education was 76.67% (23/30) and 96.67% (29/30) with a statistical difference (P=0.023) ; the compliance of DVT prevention of patients after discharge was 91.02% (71/78) and 98.68% (75/76) with a statistical difference (P=0.032) ; the incidence of lower limb swelling was 1.28% (1/78) and 0 (0/76) with no statistical difference (P=0.322) . Conclusions Implementation of the DVT prevention and control project in Vascular Surgery Department can effectively improve cognition of medical staff and patients on DVT, and can reduce the incidence of DVT of inpatients in Vascular Surgery Department. Key words: Venous thrombosis; Vascular surgery; Cognition; Quality control; Assessment; Prevention