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    An Evaluation of Outcomes Related to the Use of a VTE Prophylaxis Assessment Tool in Obstetrical Patients at Northwest Medical Center

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    Author
    Blanco, Hayde
    Kelly, Melissa
    Romero, John
    Wilkerson, Aaron
    Affiliation
    College of Pharmacy, The University of Arizona
    Issue Date
    2018
    Keywords
    adverse drug events
    venous thromboembolism
    postpartum
    pharmacologic prophylaxis
    MeSH Subjects
    Venous Thromboembolism
    Drug-Related Side Effects and Adverse Reactions
    Postpartum Period
    Drug Therapy
    Advisor
    Sullivan, Christopher
    Salek, Ferena
    Calkins, Linda
    Smith, Katherine
    Smith, Karen
    
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    Rights
    Copyright © is held by the author.
    Collection Information
    This item is part of the Pharmacy Student Research Projects collection, made available by the College of Pharmacy and the University Libraries at the University of Arizona. For more information about items in this collection, please contact Jennifer Martin, Librarian and Clinical Instructor, Pharmacy Practice and Science, jenmartin@email.arizona.edu.
    Publisher
    The University of Arizona.
    Abstract
    Specific Aims: To evaluate the relationship between standardized venous thromboembolism (VTE) risk assessment, subsequent use of pharmacologic prophylaxis and outcomes related to VTE and bleeding. Subjects: Pregnant women who were admitted to NMC Women’s Center from January 1, 2017 to October 1, 2017 to give birth and who consented to a post-discharge phone call. Methods: An in-house risk assessment instrument was used to measure an individual’s risk of VTE on admission and post-delivery. Six weeks post-discharge, consented eligible patients were contacted via phone to determine VTE occurrence outpatient or inpatient, VTE prophylaxis occurrence, and experienced outpatient adverse drug events (ADE). All data were recorded in a data collection spreadsheet and analyzed. Main Results: A total of 707 women were included in the study. Most patients had a total risk score of zero (antepartum [AP]: 74.4%, postpartum [PP]: 51.9%). Seventeen (2.4%) AP patients and 72 (12.8%) PP patients scored high risk (defined as total score ≥ 4). Of the 17 high risk AP patients, 8 received postpartum prophylaxis. Of the 72 high risk PP patients, 13 received postpartum prophylaxis. There were no reported ADEs associated with any prophylactic drug therapy. One patient experienced a deep vein thrombosis incident in the six weeks postpartum period and zero in the antepartum period. Conclusions: Among the participants who received a VTE risk assessment pre- and postpartum, one participant experienced a VTE during the six week postpartum window. Additionally, there was no notable difference in ADEs in patients receiving pharmacological prophylaxis despite increased use.
    Description
    Class of 2018 Abstract
    Collections
    Pharmacy Student Research Projects

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