Journal article

Variations in practice of thromboprophylaxis across general surgical subspecialties: a multicentre (PROTECTinG) study of elective major surgeries

David S Liu, Sean Stevens, Enoch Wong, Jonathan Fong, Krinal Mori, Nicola Fleming, Pith Soh Beh, Amy Crowe, Tess Howard, Maeve Slevin, Anshini Jain, Anna Sonia Gill, Sharon Lee, Wael Jamel, Simon Bennet, Chi Chung, Salena Ward, Vijayaragavan Muralidharan

ANZ Journal of Surgery | WILEY | Published : 2020


BACKGROUND: Despite guidelines recommending perioperative thromboprophylaxis for patients undergoing general surgery, we have observed significant variations in its practice. This may compromise patient safety. Here, we quantify the heterogeneity of perioperative thromboprophylaxis across all major general surgical operations, and place them in relation to their risk of bleeding and venous thromboembolism. METHODS: Retrospective review of all elective major general surgeries performed between 1 January 2018 and 30 June 2019 across seven Victorian hospitals was conducted. RESULTS: A total of 5912 patients who underwent 6628 procedures were reviewed. Significant heterogeneity was found in the ..

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