Venous thromboembolic disease prophylaxis among general surgeons in Malaysia

Objective: The aim of this study was to analyse the current practice of venous thromboembolism (VTE) prophylaxis among general surgeons in Malaysia. Methods: A questionnaire survey was conducted among general surgeons attending the annual Malaysian College of Surgeons meeting in 2002. A total of 110...

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Main Authors: Prasannan, Subhita, Liew, Ngoh Chin, Alif Gul, Yunus Gul
Format: Article
Language:English
Published: Elsevier 2005
Online Access:http://psasir.upm.edu.my/id/eprint/42248/
http://psasir.upm.edu.my/id/eprint/42248/1/Venous%20thromboembolic%20disease%20prophylaxis%20among%20general%20surgeons%20in%20Malaysia.pdf
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author Prasannan, Subhita
Liew, Ngoh Chin
Alif Gul, Yunus Gul
author_facet Prasannan, Subhita
Liew, Ngoh Chin
Alif Gul, Yunus Gul
author_sort Prasannan, Subhita
building UPM Institutional Repository
collection Online Access
description Objective: The aim of this study was to analyse the current practice of venous thromboembolism (VTE) prophylaxis among general surgeons in Malaysia. Methods: A questionnaire survey was conducted among general surgeons attending the annual Malaysian College of Surgeons meeting in 2002. A total of 110 questionnaires were distributed to specialist-grade general surgeons with varying subspecialty interests. Results: Seventy-seven (70%) surgeons returned the questionnaire. Of these, 43% were of the opinion that VTE was as common in Asian patients as in the West. Selective VTE prophylaxis was used by 99% in their practice. The indications for use, in order of frequency, were: previous VTE disease, risk grading, prolonged surgery, obesity, malignancy and age. Low molecular weight heparin was the most common type of prophylaxis used. VTE-related morbidity was reported by 44 surgeons (57%) over the past year, and 39% of these cases were fatal. Conclusion: The high incidence of VTE-related complications indicates that the use of thromboprophylaxis is either insufficient or not matched to the level of risk. Updated guidelines on VTE prophylaxis should be used so that a standardized approach can ensure that patients receive adequate prophylaxis where indicated.
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spelling upm-422482016-04-12T06:33:14Z http://psasir.upm.edu.my/id/eprint/42248/ Venous thromboembolic disease prophylaxis among general surgeons in Malaysia Prasannan, Subhita Liew, Ngoh Chin Alif Gul, Yunus Gul Objective: The aim of this study was to analyse the current practice of venous thromboembolism (VTE) prophylaxis among general surgeons in Malaysia. Methods: A questionnaire survey was conducted among general surgeons attending the annual Malaysian College of Surgeons meeting in 2002. A total of 110 questionnaires were distributed to specialist-grade general surgeons with varying subspecialty interests. Results: Seventy-seven (70%) surgeons returned the questionnaire. Of these, 43% were of the opinion that VTE was as common in Asian patients as in the West. Selective VTE prophylaxis was used by 99% in their practice. The indications for use, in order of frequency, were: previous VTE disease, risk grading, prolonged surgery, obesity, malignancy and age. Low molecular weight heparin was the most common type of prophylaxis used. VTE-related morbidity was reported by 44 surgeons (57%) over the past year, and 39% of these cases were fatal. Conclusion: The high incidence of VTE-related complications indicates that the use of thromboprophylaxis is either insufficient or not matched to the level of risk. Updated guidelines on VTE prophylaxis should be used so that a standardized approach can ensure that patients receive adequate prophylaxis where indicated. Elsevier 2005-04 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/42248/1/Venous%20thromboembolic%20disease%20prophylaxis%20among%20general%20surgeons%20in%20Malaysia.pdf Prasannan, Subhita and Liew, Ngoh Chin and Alif Gul, Yunus Gul (2005) Venous thromboembolic disease prophylaxis among general surgeons in Malaysia. Asian Journal of Surgery, 28 (2). pp. 125-130. ISSN 1015-9584; ESSN: 0219-3108 10.1016/S1015-9584(09)60276-1
spellingShingle Prasannan, Subhita
Liew, Ngoh Chin
Alif Gul, Yunus Gul
Venous thromboembolic disease prophylaxis among general surgeons in Malaysia
title Venous thromboembolic disease prophylaxis among general surgeons in Malaysia
title_full Venous thromboembolic disease prophylaxis among general surgeons in Malaysia
title_fullStr Venous thromboembolic disease prophylaxis among general surgeons in Malaysia
title_full_unstemmed Venous thromboembolic disease prophylaxis among general surgeons in Malaysia
title_short Venous thromboembolic disease prophylaxis among general surgeons in Malaysia
title_sort venous thromboembolic disease prophylaxis among general surgeons in malaysia
url http://psasir.upm.edu.my/id/eprint/42248/
http://psasir.upm.edu.my/id/eprint/42248/
http://psasir.upm.edu.my/id/eprint/42248/1/Venous%20thromboembolic%20disease%20prophylaxis%20among%20general%20surgeons%20in%20Malaysia.pdf