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Venous thromnoembolism prophylaxis in at risk inpatients with cancer in Hanoi Medical University hospital, Vietnam

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 Phuc Do Giang, Anh Duy Nguyen, Hai Hoang Bui

ABSTRACT

Venous thromboembolism (VTE) causes morbidity and mortality in cancer patients and this is a frequent complication of anti-cancer therapy. Venous thromboembolism prophylaxis in at-risk patients with cancer has a describable benefit-to-risk ratio and necessary.

Objectives

To determine the proportion of at-risk patients with cancer receiving venous thromboembolism prophylaxis at a teaching hospital in Vietnam.

Methods

A retrospective, cross-sectional survey was performed in patients with cancer of brain, pancreas, gastrointestinal tract, ovary, kidney, bladder, lung and hematologic malignancy. All patients admitted to Department of Oncology - Hanoi Medical University Hospital from January 2011 to December 2013.

Results

Of 364 patients enrolled in study there were 98/364 (26.9%) who received prophylaxis for thromboembolism by either mechanical or pharmaceutical method, including 20/364 (5.5%) patients who were used the anticoagulant. None of the patients received anticoagulant prophylaxis according to the standard recommendation of American College of Chest Physician.

Conclusion

The frequency of using recommended VTE prophylaxis in at-risk cancer patients was low.

Keywords

Venous thromboembolism, pulmonary embolism, deep venous thrombosis, VTE prophylaxis, cancer

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