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Venous thromboembolic disease prophylaxis among general surgeons in Malaysia


Prasannan, Subhita and Liew, Ngoh Chin and Alif Gul, Yunus Gul (2005) Venous thromboembolic disease prophylaxis among general surgeons in Malaysia. Asian Journal of Surgery, 28 (2). pp. 125-130. ISSN 1015-9584; ESSN: 0219-3108

Abstract / Synopsis

Objective: The aim of this study was to analyse the current practice of venous thromboembolism (VTE) prophylaxis among general surgeons in Malaysia. Methods: A questionnaire survey was conducted among general surgeons attending the annual Malaysian College of Surgeons meeting in 2002. A total of 110 questionnaires were distributed to specialist-grade general surgeons with varying subspecialty interests. Results: Seventy-seven (70%) surgeons returned the questionnaire. Of these, 43% were of the opinion that VTE was as common in Asian patients as in the West. Selective VTE prophylaxis was used by 99% in their practice. The indications for use, in order of frequency, were: previous VTE disease, risk grading, prolonged surgery, obesity, malignancy and age. Low molecular weight heparin was the most common type of prophylaxis used. VTE-related morbidity was reported by 44 surgeons (57%) over the past year, and 39% of these cases were fatal. Conclusion: The high incidence of VTE-related complications indicates that the use of thromboprophylaxis is either insufficient or not matched to the level of risk. Updated guidelines on VTE prophylaxis should be used so that a standardized approach can ensure that patients receive adequate prophylaxis where indicated.

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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number:
Publisher: Elsevier
Keywords: Prophylaxis; Survey; Thromboembolic disease; Venous
Depositing User: Nabilah Mustapa
Date Deposited: 12 Apr 2016 14:33
Last Modified: 12 Apr 2016 14:33
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