American journal of surgery · 2025
Use of post-discharge venous thromboembolism prophylaxis in hospitalized trauma patients - survey results of Southwestern surgical Congress and Southeastern surgical Congress members.
СтатьяНазвание и аннотация: Перевод в очереди
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Kay Annika Bickford, Woller Scott C, Groat Danielle, Regner Justin L, Schroeppel Thomas J, Fontaine Gabriel V, Majercik Sarah
Аннотация
BACKGROUND: We aimed to describe current practices related to post-discharge prophylaxis (PDP) in hospitalized trauma patients.
METHODS: A 30-question survey was distributed to SWSC/SESC members from February-May 2024. Respondent demographics, perception of PDP utility and prescribing patterns were evaluated. K-means clustering identified subgroups based on protocols and prescribing preferences.
RESULTS: Forty-nine respondents, 67 % physicians and 33 % APPs. Most practiced in urban environments (69 %) with level I trauma designation (76 %). Majority (90 %) believed that PDP is warranted in select patients, yet 31 % rarely/never prescribe it. Providers most often prescribe enoxaparin (46.9 %), DOACs (22 %) and aspirin (18 %) for PDP. Characteristics of the group demonstrating PDP prescribing behavior most consistent with existing evidence included APP credentials and 80-100 % inpatient trauma care.
CONCLUSION: Most respondents believe PDP is warranted, yet a notable proportion report rarely prescribing PDP. Provider credentials had the greatest impact on response differences. Future studies are needed to better define PDP.
METHODS: A 30-question survey was distributed to SWSC/SESC members from February-May 2024. Respondent demographics, perception of PDP utility and prescribing patterns were evaluated. K-means clustering identified subgroups based on protocols and prescribing preferences.
RESULTS: Forty-nine respondents, 67 % physicians and 33 % APPs. Most practiced in urban environments (69 %) with level I trauma designation (76 %). Majority (90 %) believed that PDP is warranted in select patients, yet 31 % rarely/never prescribe it. Providers most often prescribe enoxaparin (46.9 %), DOACs (22 %) and aspirin (18 %) for PDP. Characteristics of the group demonstrating PDP prescribing behavior most consistent with existing evidence included APP credentials and 80-100 % inpatient trauma care.
CONCLUSION: Most respondents believe PDP is warranted, yet a notable proportion report rarely prescribing PDP. Provider credentials had the greatest impact on response differences. Future studies are needed to better define PDP.