Use of post-discharge venous thromboembolism prophylaxis in hospitalized trauma patients - survey results of Southwestern surgical Congress and Southeastern surgical Congress members.

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.