EP-67 An Audit of extended Venous Thromboembolic Prophylaxis for major Laparotomy in a District General Hospital, Are We Compliance With NICE guidelines?

Abstract

Abstract Aim Development of Thrombo-embolic episode is a well-recognised complication after major abdominal surgery in high risk patients. studies have shown the extended VTE prophylaxis is beneficial for the patients after a major abdominal surgery. Aim of this study was to evaluate the administration of extended VTE prophylaxis after being discharged home. We prescribed LMWH for prophylaxis postoperatively for 28 days and patients or carers were trained to self-administer before discharge. Method This is a retrospective review of prospectively collected and maintained data on major abdominal surgery (Laparotomy) in a district general hospital for the length of VTE prophylaxis after discharge home. and compare the result with the standard set out by NICE. we collected the patients’ data from electronic database from January 2019 to January 2021. Results A total of 310 patients records were retrieved from the database system. Our record result showed that 189(61%) patients went home with extended VTE prophylaxis. 121(39%) patients did not receive VTE prophylaxis after discharged. Out of 121 patients 2 patients developed VTE 1 patient developed DVT and PE and one patient developed DVT only. Patient with DVT and PE was admitted for medical management. Conclusion Post operative DVT and PE are worrisome preventable complications for the patients after major surgery especially the elderly and patients with medical co morbidities. the morbid patients with malignancy are more challenging to mobilise after the surgery. There has been studies on extended VTE prophylaxis for such patients after discharge and benefits are documented for those patients with extended VTE prophylaxis.