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Observational Study
. 2014 Jul-Aug;25(4):159-64.
doi: 10.5830/CVJA-2014-025.

Epidemiological African day for evaluation of patients at risk of venous thrombosis in acute hospital care settings

Samuel Kingue  1 , Limbole Bakilo  2 , Jacqueline Ze Minkande  3 , Inoussa Fifen  4 , Yash Pal Gureja  5 , Henri Jean Claude Razafimahandry  6 , Njideka Okubadejo  7 , Richard Mvuala  2 , D A Oke  8 , Alexandre Manga  9 , Tovohery Rajaonera  10 , Cajetan Nwadinigwe  11 , Emmanuel Pay Pay  12 , Nirina Rabearivony  13
Affiliations
Observational Study

Epidemiological African day for evaluation of patients at risk of venous thrombosis in acute hospital care settings

Samuel Kingue et al. Cardiovasc J Afr. 2014 Jul-Aug.

Abstract

Introduction: This study aimed to identify patients at risk for venous thromboembolism (VTE) among all patients hospitalised, and to determine the proportion of at-risk hospital patients who received effective types of VTE prophylaxis in sub-Saharan Africa (SSA).

Methods: A multinational, observational, cross-sectional survey was carried out on 1 583 at-risk patients throughout five SSA countries.

Results: The prevalence of VTE risk was 50.4% overall, 62.3% in medical and 43.8% in surgical patients. The proportion of at-risk patients receiving prophylaxis was 51.5% overall, 36.2% in medical and 64% in surgical patients. Low-molecular weight heparin was the most frequently used prophylactic method in 40.2% overall, 23.1% in medical and 49.9% in surgical patients.

Discussion: This study showed a high prevalence of VTE risk among hospitalised patients and that less than half of all at-risk patients received an American College of Clinical Pharmacy-recommended method of prophylaxis.

Conclusion: Recommended VTE prophylaxis is underused in SSA.

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Figures

Fig. 1.
Fig. 1.
Percentage at-risk patients versus patients that received ACCP-recommended VTE prophylaxis by country.
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