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Sequential compression devices3/16/2023 ![]() The results of this study has initiated an intervention initiative within our hospital system to create a standardized framework to appropriately use mechanical prophylaxis in the prevention of VTEs. This represents a high value based care SCD utilization initiative at our institution which is currently underway. We observed heterogeneity in SCD use across medical, intensive care, and surgical units with up to 75% patients at-risk for inappropriate use when SCD orders are in place. Appropriate use of SCD stratified by unit were observed in 132 (53.2%), 51 (48.1%) and 19 (22.9%) patients on medical, intensive care and surgical units, respectively (p<0.001). Of patients with an SCD order, only 62 (33.3%) had an SCD machine in the room (p<0.001). While 238 (49.6%) patients had an SCD order, only 51 (24.1%) patients had appropriate use of SCDs (p<0.001). A total of 241 (55.2%) patients had pharmacologic prophylaxis with 15 (3.4%) and 6 (1.4%) patients having a prior and current history of VTE upon admission, respectively. Mean age was 60.0 years (SD: 16.4) with 248 (56.8%), 106 (24.3%) and 83 (19.0%) patients sampled from medical, intensive care, and surgical units, respectively. Univariate and chi-square analyses were performed.Ī total of 480 of 693 (69.3%) admitted patients were randomly selected and surveyed over three separate days. Data extraction included chart abstraction combined with direct patient observation. Patients in the emergency department and pediatric units were excluded from our sampling. We sought to define utilization patterns and potential quality of care predictors regarding SCD use at our institution.Ī cross-sectional study was performed by randomly sampling patients admitted to a single university hospital across three separate days from Decemto January 31, 2018. Current guidelines recommend SCD use in specific orthopedic populations or when bleeding risks prohibit pharmacologic prophylaxis. ![]() Sequential compression devices (SCDs) are routinely used for venous thromboembolism (VTE) prophylaxis. Preston Kerr (UTMB), Ali Mohammad (UTMB), Jennifer Espinales (UTMB), Megan Swonke (BS), Paula Townley (UTMB), Gulshan Sharma (UTMB), Stephen Williams (UTMB)
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