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Research ArticleQUALITY IMPROVEMENT
Open Access

Intervention to Improve Compliance With National Guidelines on Venous Thromboembolism Chemoprophylaxis for Patients With Operatively Managed Ankle Fractures

Lewys Burnett-Jones, Ananth Srinivasan, Alicia Mead and Atul Malik
Ochsner Journal December 2022, 22 (4) 319-323; DOI: https://doi.org/10.31486/toj.22.0038
Lewys Burnett-Jones
1Department of Trauma and Orthopaedics, Sandwell and West Birmingham NHS Trust, Birmingham, UK
MBBS (Hons), BSc (Hons)
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  • For correspondence: lewys.burnett-jones2{at}nhs.net
Ananth Srinivasan
2Trauma and Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK
BMedSc (Hons), MbChB (Hons), MRCS (Eng), PGCert (Med)
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Alicia Mead
3Department of Oral and Maxillofacial Surgery, The Dudley Group NHS Foundation Trust, Dudley, UK
BDS (Hons), BSc (Hons), DCT1
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Atul Malik
1Department of Trauma and Orthopaedics, Sandwell and West Birmingham NHS Trust, Birmingham, UK
MS (Orth), DNB (Orth), MSc, FRCS (T&O)
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    Figure.

    The relationship between operation note documentation and venous thromboembolism (VTE) chemoprophylaxis prescription on discharge during data collection cycle 1. Asterisks denote statistically significant differences.

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    Table.

    Analysis of Primary and Secondary Outcomes by Data Collection Cycle

    OutcomeData Collection Cycle 1, n=137Data Collection Cycle 2, n=49P Value
    Operation note documentation
     Full documentation: agent and duration specified40 (29)44 (90)<0.001
     Nonspecific: some mention of VTE chemoprophylaxis but duration and agent together not specified40 (29)3 (6)<0.001
     No documentation: no agent or duration specified57 (42)2 (4)<0.001
    Discharged with VTE chemoprophylaxis prescription78 (57)48 (98)<0.001
    • Notes: Data are presented n (%). Data collection cycle 1 was September 2017 to August 2018. Data collection cycle 2 was June 2020 to November 2020. P values are calculated using Fisher exact test.

    • VTE, venous thromboembolism.

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Ochsner Journal: 22 (4)
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Vol. 22, Issue 4
Dec 2022
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Intervention to Improve Compliance With National Guidelines on Venous Thromboembolism Chemoprophylaxis for Patients With Operatively Managed Ankle Fractures
Lewys Burnett-Jones, Ananth Srinivasan, Alicia Mead, Atul Malik
Ochsner Journal Dec 2022, 22 (4) 319-323; DOI: 10.31486/toj.22.0038

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Intervention to Improve Compliance With National Guidelines on Venous Thromboembolism Chemoprophylaxis for Patients With Operatively Managed Ankle Fractures
Lewys Burnett-Jones, Ananth Srinivasan, Alicia Mead, Atul Malik
Ochsner Journal Dec 2022, 22 (4) 319-323; DOI: 10.31486/toj.22.0038
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Keywords

  • Ankle fractures
  • Anticoagulants
  • enoxaparin
  • orthopedics
  • venous thromboembolism

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