Table of Contents
Thrombosis
Volume 2013, Article ID 873750, 5 pages
http://dx.doi.org/10.1155/2013/873750
Research Article

Postoperative Venous Thromboembolism Prophylaxis by General Surgeons in a Developing Country: A Survey

Department of General Surgery, Bangalore Medical College and Research Institute, No. 182, 100 Feet Ring Road, Banashankari 3rd Stage, Bangalore 560085, India

Received 26 May 2013; Accepted 25 July 2013

Academic Editor: Domenico Prisco

Copyright © 2013 Aniketh Venkataram et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Venous thromboembolism (VTE) is the most common preventable cause of hospital death. Several audits in the west have demonstrated that appropriate thromboprophylaxis is not being offered to a large number of surgical patients. Similar audits are lacking in the Indian population, and a perception exists among Indian surgeons that Indian patients are not susceptible to VTE. Hence we undertook a survey to analyze the existing knowledge and practice of VTE prophylaxis amongst general surgeons in India. A questionnaire-based survey was conducted on 100 active general surgeons. We found that 97% of surgeons had encountered VTE in their practice, and 49% had encountered mortality from pulmonary embolism. 64% of surgeons do not routinely score patients preoperatively for their VTE risk, and only 33% reported the presence of an institute-based protocol for the same. There was a wide disparity in the prophylaxis methods used for each risk group, particularly in the moderate-risk group. These findings suggest the need for adoption of institute-based protocols for prophylaxis and the evolution of Indian guidelines for VTE prophylaxis.