院内静脉血栓栓塞症综合性防治管理体系的建立和效果分析

Establishment and the effectiveness analysis of a comprehensive management system for preventing and curing venous thromboembolism within hospital

静脉血栓栓塞症(venous thromboembolism, VTE)是导致患者院内非预期死亡和围手术期死亡的重要原因。早发现、早预防是降低VTE发病率和病死率的重要措施。我院积极构建院内VTE "防""治""研"一体化综合性防治管理体系。一方面推广落实院内VTE防治管理工作,使院内预防措施落实率逐年上升,而住院患者VTE发病率逐年下降,VTE相关的医疗纠纷明显减少。另一方面建设VTE信息化监管平台和专病大数据库,通过统计学分析,指导临床规范使用抗凝药,降低了VTE发病率。同时还发现了内科患者与外科患者的VTE发病特点,为进一步修订VTE诊疗指南提供参考。

Venous thromboembolism(VTE)is an important etiology for unexpected deaths and perioperative deaths of inpatients. Early diagnose and early prevention are main measures to reduce the incidence and mortality of VTE. Herein, we have established a comprehensive management system of VTE prevention, treatment and research. On one hand, we implemented the in-hospital VTE prevention management and improved the implementation status of VTE prevention and treatment. As a result, the number of diagnosed VTE cases and related medical disputes decreased by years. On the other hand, we have built up the VTE monitoring platform, providing useful statistical data for the clinical use of anticoagulants and further reducing the incidence of VTE. The VTE monitoring platform also revealed some significant differences of the VTE incidence between the medical patients and the surgical patients, which could provide reference for further revision of VTE guidelines.