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Variations in practice of thromboprophylaxis across general surgical subspecialties: a multicentre ( PROTECTinG ) study of elective major surgeries
Author(s) -
Liu David S.,
Stevens Sean,
Wong Enoch,
Fong Jonathan,
Mori Krinal,
Fleming Nicola,
Beh Pith Soh,
Crowe Amy,
Howard Tess,
Slevin Maeve,
Jain Anshini,
Gill Anna Sonia,
Lee Sharon,
Jamel Wael,
Bennet Simon,
Chung Chi,
Ward Salena,
Muralidharan Vijayaragavan
Publication year - 2020
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.16374
Subject(s) - medicine , chemoprophylaxis , perioperative , venous thromboembolism , retrospective cohort study , general surgery , intensive care medicine , surgery , emergency medicine , thrombosis
This multicentre study analysed 6628 elective major procedures across all general surgical specialties. Significant variations in practice of perioperative thromboprophylaxis were identified. These included: (i) use of chemoprophylaxis, (ii) timing of its initiation, (iii) type of anticoagulant administered and (iv) application of extended chemoprophylaxis. These variations were seen within the same procedure, and between different surgeries and subspecialties. The inherent bleeding and venous thromboembolism risks of common procedures are also described. Our findings enable surgeons to compare their practices, and provide baseline data to inform efforts towards optimizing thromboprophylaxis for general surgical patients.