Rozzano, 01/06/2016 Dott.ssa Lidia Rota Dott. Claudio Bassi

WTD- World Thrombosis Day

2015-2016

Humanitas Thrombosis Team

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AIMS

• Engagement of physicians and nurses on an action focused on improvement of knowledge about venous thrombosis mechanisms, symptoms and prevention

• Profiling venous thromboembolic risk in inhospital patients.

• Participating in World Thrombosis Day

• Cooperation with ALT, a not for profit organization focused on prevention of cardiovascular diseases caused by Thrombosis and Embolism through raising awareness and improving the knowledge of risk factors and early symptoms for general population.

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Opportunities for participants

The project offered some opportunities to participants :

– Being active in a worldwide scenario as a Hospital oriented to preven venous thromboembolic disease through concrete and measurable actions

– Improve the perception of the importance of Thrombosis and strenghthen prevention in patients hospitalized in medical Department in Humanitas Research Hospital

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Project Description - phase I

• Form a Thrombosis Team: nurses in Medical Departments have choosen to participate on a voluntary basis

• Two seminaries (180 minutes) explaining Thrombosis ( mechanism, symptoms, risk factors, specific risk profiling, therapies) given by a specialist (dr Rota - dr Lodigiani )

• Fill in a questionnaire for each patient based on a revised Caprini score administered by Thrombosis Team nurses to 100 consecutive patients at time of admission to hospital

• A risk score has been calculated

• Data have been analized

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RESULTS – Phase I

• Action planned and completed: november 2015

• Number of consecutive questionnaires administered and filled in : 108

• Type of Patients: patients to be hospitalized in the Department of Internal Medicine

• Men : 59 - Women : 49

• Mean age : 72yrs (Min 32 – Max 96)

• Weight: mean 69,5 Kg (Min 21 – Max 172)

• Height: mean 164 cm (Min 74 – Max 187)

• BMI : mean 25 (Min 8,41 – Max 56,16)

Scores – Phase I

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10

10,2

10,4

10,6

10,8

11

11,2

11,4

11,6

11,8

12

12,2

donne uomini tot

Global Mean 10,92 Women: 10,7 Men : 11,94

Score in percentiles

7

0

5

10

15

20

25

30

35

40

<6 >5 < 11 >10<16 >15<21 >20<26 <25

<6 >5 < 11 >10<16 >15<21 >20<26 <25

18 34 31 16 4 2

A score > 5 means an

increased risk for venous

thromboembolic events

Step forward

• Presentation of conclusive remarks about results

• Share with Humanitas Hospital Health Care Managers , nurses and physicians in Internal Medicine

• Edit a pamphlet, to be delivered to patients and caregivers accessing Humanitas Hospital, in collaboration with ALT – Association against Thrombosis and Cardiovascular Diseases

• Replicate and extend the action at a general level for every inpatient in Internal Medicine Department ( Phase II)

• Communicate to World Thrombosis Day network

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Step forward -2

• Administer prophylactic measures , mechanical or pharmacological, to selected patients with a significative risk score

• Evaluate the outcomes

• Evaluate the economical impact in terms of reduction of costs related to adverse events during hospitalization and/or lenghth of hospital staying

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References:

• Jha AK, Larizgoitia I, Audera-Lopez C, Prasopa-Plaizier N, Waters H, Bates DW. The global burden

of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf 2013; 22: 809-15.

• Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, Abraham J, Adair T, Aggarwal R,

Ahn SY, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Barker-

Collo S, Bartels DH, Bell ML, Benjamin EJ, et al. Global and regional mortality from 235 causes of

death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease

Study 2010. Lancet 2012; 380: 2095-128.

• Heit JA. The epidemiology of venous thromboembolism in the community. Arterioscler Thromb Vasc

Biol 2008; 28: 370-2.

• House of Commons Health Committee Report on the Prevention of Venous Thromboembolism in

Hospitalised Patients, 2005.

Available: www.publications.parliament.uk/pa/cm200405/cmselect/cmhealth/99/9902.html.

• Beckman M, Hooper C, Critchley S, Ortel T. Venous thromboembolism. A public health concern.

Am J Prev Med 2010: 38 (4S) S495-S501.

• The Australian and New Zealand Working Party on the Management and Prevention of Venous

Thromboembolism. (2008). The Burden of Venous Thromboembolism in Australia. Australia: Access

Economics Pty Limited.

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Thanks to our Thrombosis Team !!!!

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Participants

Humanitas Research Hospital www.humanitas.it

- International Center for Global Cardiovascular Disease

Prevention

- Thrombosis Center

- Nurses

ALT- Association against Thrombosis and cardiovascular

diseases- not for profit www.trombosi.org

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