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The Perception of Evidence for Venous Thromboembolism Prophylaxis Current Practices after Cardiac Surgery: A Canadian Cross-Sectional Survey.

Mufti HN, Baskett RJ, Arora RC, Légaré JF - Thrombosis (2015)

Bottom Line: Results.Conclusions.Our findings highlight the need for appropriately designed studies to fill this knowledge gap.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiac Surgery, Department of Surgery, Dalhousie University, Queen Elizabeth II Health Sciences Center, 1796 Summer Street, Room 2269, Halifax, NS, Canada B3H 3A7.

ABSTRACT
Background. Venous thromboembolism (VTE) is the third leading cause of cardiovascular death in patients undergoing surgery. However, VTE prophylaxis practices in cardiac surgery are based on noncardiac surgical literature. The objective of our study was to extract current patterns of VTE prophylaxis practices in cardiac surgery patients. We also aimed to identify health care professionals knowledge of available evidence supporting VTE prophylaxis in adult cardiac surgery patients. Methods. A web-based survey was developed and sent to all Canadian cardiac surgery centers with the intent to have the survey distributed to all personnel involved in the perioperative care of adult cardiac surgery patients. Participation in the questionnaire was voluntary and anonymized. Results. Thirty-five responses were obtained. Sixty-nine percent reported having an established protocol for VTE prophylaxis. However, 83% reported using VTE prophylaxis in their daily practice despite lack of protocol. The majority (60%) believed that the class of recommendation was high despite the lack of evidence. Conclusions. Our survey demonstrated the following. (a) Majority of Canadian centers employ VTE prophylaxis, with considerable variability. (b) There is a misconception among health care professionals about the strength of evidence supporting VTE prophylaxis in cardiac surgery. Our findings highlight the need for appropriately designed studies to fill this knowledge gap.

No MeSH data available.


Related in: MedlinePlus

Number of Canadian cardiac surgery centers and respondents by province (AB: Alberta, BC: British Colombia, MB: Manitoba, NB: New Brunswick, NS: Nova Scotia, NL: Newfoundland and Labrador, PEI: Prince Edward Island, ON: Ontario, QC: Quebec, and SK: Saskatchewan).
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4644839&req=5

fig1: Number of Canadian cardiac surgery centers and respondents by province (AB: Alberta, BC: British Colombia, MB: Manitoba, NB: New Brunswick, NS: Nova Scotia, NL: Newfoundland and Labrador, PEI: Prince Edward Island, ON: Ontario, QC: Quebec, and SK: Saskatchewan).

Mentions: Over the 8 weeks duration of the survey, we received 35 responses. We did not ask the respondents to specify the center they are working in, to ensure anonymity. In some provinces, the number of responses was less than the number of centers (e.g., Ontario) while in other provinces the number of responses was more than the number of centers (e.g., Alberta) (Figure 1). Because all Canadian cardiac surgery center directors and cardiac intensive care unit directors were asked to distribute the survey, we estimate that the survey reached at least 60 to 70 participants. Unfortunately, we do not have the data to support that.


The Perception of Evidence for Venous Thromboembolism Prophylaxis Current Practices after Cardiac Surgery: A Canadian Cross-Sectional Survey.

Mufti HN, Baskett RJ, Arora RC, Légaré JF - Thrombosis (2015)

Number of Canadian cardiac surgery centers and respondents by province (AB: Alberta, BC: British Colombia, MB: Manitoba, NB: New Brunswick, NS: Nova Scotia, NL: Newfoundland and Labrador, PEI: Prince Edward Island, ON: Ontario, QC: Quebec, and SK: Saskatchewan).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4644839&req=5

fig1: Number of Canadian cardiac surgery centers and respondents by province (AB: Alberta, BC: British Colombia, MB: Manitoba, NB: New Brunswick, NS: Nova Scotia, NL: Newfoundland and Labrador, PEI: Prince Edward Island, ON: Ontario, QC: Quebec, and SK: Saskatchewan).
Mentions: Over the 8 weeks duration of the survey, we received 35 responses. We did not ask the respondents to specify the center they are working in, to ensure anonymity. In some provinces, the number of responses was less than the number of centers (e.g., Ontario) while in other provinces the number of responses was more than the number of centers (e.g., Alberta) (Figure 1). Because all Canadian cardiac surgery center directors and cardiac intensive care unit directors were asked to distribute the survey, we estimate that the survey reached at least 60 to 70 participants. Unfortunately, we do not have the data to support that.

Bottom Line: Results.Conclusions.Our findings highlight the need for appropriately designed studies to fill this knowledge gap.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiac Surgery, Department of Surgery, Dalhousie University, Queen Elizabeth II Health Sciences Center, 1796 Summer Street, Room 2269, Halifax, NS, Canada B3H 3A7.

ABSTRACT
Background. Venous thromboembolism (VTE) is the third leading cause of cardiovascular death in patients undergoing surgery. However, VTE prophylaxis practices in cardiac surgery are based on noncardiac surgical literature. The objective of our study was to extract current patterns of VTE prophylaxis practices in cardiac surgery patients. We also aimed to identify health care professionals knowledge of available evidence supporting VTE prophylaxis in adult cardiac surgery patients. Methods. A web-based survey was developed and sent to all Canadian cardiac surgery centers with the intent to have the survey distributed to all personnel involved in the perioperative care of adult cardiac surgery patients. Participation in the questionnaire was voluntary and anonymized. Results. Thirty-five responses were obtained. Sixty-nine percent reported having an established protocol for VTE prophylaxis. However, 83% reported using VTE prophylaxis in their daily practice despite lack of protocol. The majority (60%) believed that the class of recommendation was high despite the lack of evidence. Conclusions. Our survey demonstrated the following. (a) Majority of Canadian centers employ VTE prophylaxis, with considerable variability. (b) There is a misconception among health care professionals about the strength of evidence supporting VTE prophylaxis in cardiac surgery. Our findings highlight the need for appropriately designed studies to fill this knowledge gap.

No MeSH data available.


Related in: MedlinePlus