Anti-clotting treatment underused at many...( hopedic surgery patients. One in 10 pa...)

Anti-clotting treatment underused at many hospitals

hopedic surgery patients. One in 10 patients in the VA system did not receive an anticoagulant to prevent blood clots after surgery, while 6 percent in academic hospitals and 5 percent in community hospitals didn't receive preventive therapy.

The researchers concluded that a broad sample of American hospitals aren't following evidence-based guidelines. "A significant percentage of patients at risk for blood clots and stroke do not receive risk-modifying agents," they said.

Part of this may be due to an increasing number of older patients with more complex diseases, which put these people at higher risk for side effects from anticoagulant therapy, Caprini said.

"It is becoming clear that system-based approaches, like the American Heart Association's Get With The Guidelines program, help simplify the complexities of patient care and allow the healthcare team to translate evidence-based guidelines into clinical practice at the point of service," said Alice K. Jacobs, M.D., incoming president of the American Heart Association.

Co-authors are David J. Ballard, M.D.; Richard C. Becker, M.D.; Thomas M. Hyers, M.D.; Roger Khetan, M.D.; Victor F. Tapson, M.D.; Albert L. Waldo, M.D.; Ann K. Wittkowsky, Pharm. D.; Kevin J. Colgan, M.A.; and Alicia S. Shillington, Ph.D.

'"/>

Contact: Carole Bullock
carole.bullock@heart.org
214-706-1279
American Heart Association
17-May-2004

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Anti-clotting treatment underused at many...( hopedic surgery patients. One in 10 pa...),Health