8 / 14
Page 35
Arthroplasty 2019
June 24-25, 2019
Volume 14
Journal of Orthopaedics Trauma Surgery and Related Research
Arthroplasty
June 24-25, 2019 | Rome, Italy
12
th
International Conference on
A simple intervention to increase VTE prophylaxis compliance in neck of femur fracture patients
Keshav Gupta
West Midlands Deanery, UK
F
ragility and hip fractures are increasingly more common due to an ageing population. They represent a significant
healthcare burden due to the high morbidity and mortality associated with each fracture. VTE is one of the dangerous
and significant complications, thus prevention is key. Thromboprophylaxis has shown to significantly reduce the incidence
of fatal VTE complications. We assessed compliance with VTE prophylaxis in post-operative neck of femur fracture
patients. NICE guidance recommends all patients with hip fractures should have 28-35 days of thromboprophylaxis
starting 6-12 hours after surgery provided there are no contraindications.
We analysed 95 patient records betweenApril and June 2018 and looked at 82 records following a strict inclusion/exclusion
criteria. We found 77/82 patients were covered with anticoagulation at discharge. We set up a simple intervention with the
new cycle of junior doctors by creating posters in key prescribing areas of wards to remind them of the NICE guidance. We
repeated the methodology between August and October 2018 and found 64/64 patients were covered with anticoagulation
at discharge. Our findings show a simple intervention can radically improve compliance to national guidance. This is in
keeping with a previous similar study conducted in 2014 where compliance to thromboprophylaxis prescribing following
neck of femur fractures improved following a simple intervention of small labels on prescribing computers.
J.Orthop.Trauma Surg.Relat.Res. | Volume 14
ISSN:2449-9145