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

Autores/as

  • Sofía Grille Cátedra de Hematología. Hospital de Clínicas. Facultad de Medicina. Universidad de la República
  • Luana Maggiari Cátedra de Hematología. Hospital de Clínicas. Facultad de Medicina. Universidad de la República
  • Ignacio Morales Cátedra de Hematología. Hospital de Clínicas. Facultad de Medicina. Universidad de la República
  • Jonathan Ojeda Cátedra de Hematología. Hospital de Clínicas. Facultad de Medicina. Universidad de la República
  • Brian Pérez Cátedra de Hematología. Hospital de Clínicas. Facultad de Medicina. Universidad de la República
  • Ignacio Pérez Cátedra de Hematología. Hospital de Clínicas. Facultad de Medicina. Universidad de la República
  • Virginia Ribero Cátedra de Hematología. Hospital de Clínicas. Facultad de Medicina. Universidad de la República
  • Cecilia Guillermo Cátedra de Hematología. Hospital de Clínicas. Facultad de Medicina. Universidad de la República

Palabras clave:

cesárea, tromboprofilaxis, alerta escrita

Resumen

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.

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Publicado

2021-04-28

Cómo citar

Grille, S., Maggiari, L., Morales, I., Ojeda, J., Pérez, B., Pérez, I., Ribero, V., & Guillermo, C. (2021). Adherencia a las recomendaciones de tromboprofilaxis post-cesárea: estudio de corte transversal. Revista Médica De Chile, 149(6). Recuperado a partir de https://mail.revistamedicadechile.cl/index.php/rmedica/article/view/8276

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