Home >  News >  June, 2014

The Secret to Fewer Post-operative Deep-Vein Blood Clots

Prevention program leads to an 84% drop in the rate of DVT.

Published: June 2, 2014

In what could be a model for other surgical facilities, a coordinated, multi-faceted, 2-year effort to reduce blood clots at Boston (Mass.) Medical Center succeeded in reducing deep venous thromboses (DVT) by 84% and pulmonary emboli by 55%, the American College of Surgeons reports.

Along with urging patients to walk 3 times a day, including on the day of surgery, if possible, the program incorporated an analysis of risk factors such as age, obesity, smoking, bed confinement, personal and family history, and length of operation.

Along with the need for early mobilization, electronic physician orders specified a requirement to score patient risk, to provide appropriate preventive treatment based on risk scores and, for high-risk patients, continuing treatment once patients were home. Risk-based prophylaxis included inflatable pressure boots and low doses of blood thinners. Patients were also educated about the importance of preventing blood clots.

Comparing the 2 years before the program was implemented with the 2 years that followed, the frequency of DVT declined from 1.9% of 1,569 patients to 0.3% of 1,323 patients, and the frequency of pulmonary emboli dropped from 1.1% of 1,569 patients to 0.5% of 1,323 patients.

Jim Burger


Also in the News...

OR Fire Reveals N.Y.C. Hospital's Safety Deficit
Who Was to Blame for Unnecessary Appendectomy?
Woman Left Brain-Damaged After Gastric Surgery Blames Manufacturer for Insufficient Surgeon Training
Researchers Target the 7 Deadliest and Most Expensive Emergency Surgeries
FDA Panel: Synthetic Cartilage Implant for Big Toe Should Be Approved
No One Recognizes Retained Objects, But Judge Won't Toss Negligence Case
Big Companies Offering Big Perk to Employees: Free Surgery

New to Outpatient Surgery Magazine?
Sign-up to continue reading this article.
Register Now
Have an account? Please log in:
Email Address:
  Remember my login on this computer

advertiser banner

Other Articles That May Interest You

Turn Off Cell Phones in the OR

OR Fire Reveals N.Y.C. Hospital's Safety Deficit

Lack of prevention plan was "immediate jeopardy situation."

Expert Q&A: Wrong-Site Surgery

Why years of time outs and surgical site marking haven't eradicated this never event.