Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal

Background: Cesarean section increases four times the risk of venous thromboembolism compared to vaginal delivery. The Royal College of Obstetricians and Gynecologists guidelines are used at our service. A written alert was designed to stratify patients at high, intermediate or low risk making a su...

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Autores principales:	Grille,Sofía, Maggiari,Luana, Morales,Ignacio, Ojeda,Jonathan, Pérez,Brian, Pérez,Ignacio, Ribero,Virginia, Guillermo,Cecilia
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2021
Materias:	Cesarean Section Pregnancy Reference Standards Thrombosis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000600881
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spelling	oai:scielo:S0034-988720210006008812021-11-03Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversalGrille,SofíaMaggiari,LuanaMorales,IgnacioOjeda,JonathanPérez,BrianPérez,IgnacioRibero,VirginiaGuillermo,Cecilia Cesarean Section Pregnancy Reference Standards Thrombosis Background: Cesarean section increases four times the risk of venous thromboembolism compared to vaginal delivery. The Royal College of Obstetricians and Gynecologists guidelines are used at our service. A written alert was designed to stratify patients at high, intermediate or low risk making a suggestion for thromboprophylaxis. Aim: To assess the compliance with the guidelines and to evaluate the impact of a written alert in the thromboprophylaxis compliance in women subjected to caesarean section. Patients and Methods: Review of medical records of 233 women aged 19 to 32 years, subjected to a caesarean section in a Gynecology Service, between 2016-2017. Results: Compliance with recommendations was observed in 29% of patients (68/233), 86% in the low-risk group, 26% in the intermediate risk group and 100% in the high risk group. In 41/233 (18%) of patients, a written alert was included in the medical record. Compliance with recommendations in the presence of the written alert was 61% (25/41 women) compared to 22% (43/192) in those lacking the alert (p < 0.01). In women whose emergency caesarean section was the only risk factor, the compliance with the recommendation was 8%, compared with 30% among those who had at least one thrombotic risk factor associated with caesarean section (p < 0.01). Conclusions: In this cross-sectional study, we observed a low compliance with thromboprophylaxis guidelines in cesarean women. We observed that the use of a written alert improved the compliance with thromboprophylaxis.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.6 20212021-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000600881es10.4067/s0034-98872021000600881
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cesarean Section Pregnancy Reference Standards Thrombosis
spellingShingle	Cesarean Section Pregnancy Reference Standards Thrombosis Grille,Sofía Maggiari,Luana Morales,Ignacio Ojeda,Jonathan Pérez,Brian Pérez,Ignacio Ribero,Virginia Guillermo,Cecilia Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal
description	Background: Cesarean section increases four times the risk of venous thromboembolism compared to vaginal delivery. The Royal College of Obstetricians and Gynecologists guidelines are used at our service. A written alert was designed to stratify patients at high, intermediate or low risk making a suggestion for thromboprophylaxis. Aim: To assess the compliance with the guidelines and to evaluate the impact of a written alert in the thromboprophylaxis compliance in women subjected to caesarean section. Patients and Methods: Review of medical records of 233 women aged 19 to 32 years, subjected to a caesarean section in a Gynecology Service, between 2016-2017. Results: Compliance with recommendations was observed in 29% of patients (68/233), 86% in the low-risk group, 26% in the intermediate risk group and 100% in the high risk group. In 41/233 (18%) of patients, a written alert was included in the medical record. Compliance with recommendations in the presence of the written alert was 61% (25/41 women) compared to 22% (43/192) in those lacking the alert (p < 0.01). In women whose emergency caesarean section was the only risk factor, the compliance with the recommendation was 8%, compared with 30% among those who had at least one thrombotic risk factor associated with caesarean section (p < 0.01). Conclusions: In this cross-sectional study, we observed a low compliance with thromboprophylaxis guidelines in cesarean women. We observed that the use of a written alert improved the compliance with thromboprophylaxis.
author	Grille,Sofía Maggiari,Luana Morales,Ignacio Ojeda,Jonathan Pérez,Brian Pérez,Ignacio Ribero,Virginia Guillermo,Cecilia
author_facet	Grille,Sofía Maggiari,Luana Morales,Ignacio Ojeda,Jonathan Pérez,Brian Pérez,Ignacio Ribero,Virginia Guillermo,Cecilia
author_sort	Grille,Sofía
title	Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal
title_short	Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal
title_full	Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal
title_fullStr	Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal
title_full_unstemmed	Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal
title_sort	adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal
publisher	Sociedad Médica de Santiago
publishDate	2021
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000600881
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Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal

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