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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 September 2022, 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
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  • For correspondence: lewys.burnett-jones2@nhs.net
Ananth Srinivasan
2Trauma and Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK
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Alicia Mead
3Department of Oral and Maxillofacial Surgery, The Dudley Group NHS Foundation Trust, Dudley, UK
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Atul Malik
1Department of Trauma and Orthopaedics, Sandwell and West Birmingham NHS Trust, Birmingham, UK
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  • Article
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REFERENCES

  1. 1.↵
    1. Curtis EM,
    2. van der Velde R,
    3. Moon RJ,
    4. et al.
    Epidemiology of fractures in the United Kingdom 1988-2012: variation with age, sex, geography, ethnicity and socioeconomic status. Bone. 2016;87:19-26. doi: 10.1016/j.bone.2016.03.006
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  2. 2.↵
    BOA Standard. The management of ankle fractures. British Orthopaedic Association. Last Updated August 1, 2016. Accessed September 2, 2021. boa.ac.uk/resources/boast-12-pdf.html
  3. 3.↵
    1. Horner D,
    2. Goodacre S,
    3. Pandor A,
    4. et al.
    Thromboprophylaxis in lower limb immobilisation after injury (TiLLI). Emerg Med J. 2020;37(1):36-41. doi: 10.1136/emermed-2019-208944
    OpenUrlAbstract/FREE Full Text
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    1. Cohen AT,
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    4. et al.
    Venous thromboembolism (VTE) in Europe. The number of VTE events and associated morbidity and mortality. Thromb Haemost. 2007;98(4):756-764. doi: 10.1160/TH07-03-0212
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    1. van Adrichem RA,
    2. Debeij J,
    3. Nelissen RG,
    4. Schipper IB,
    5. Rosendaal FR,
    6. Cannegieter SC
    . Below-knee cast immobilization and the risk of venous thrombosis: results from a large population-based case-control study. J Thromb Haemost. 2014;12(9):1461-1469. doi: 10.1111/jth.12655
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    1. Zee AA,
    2. van Lieshout K,
    3. van der Heide M,
    4. Janssen L,
    5. Janzing HM
    . Low molecular weight heparin for prevention of venous thromboembolism in patients with lower-limb immobilization. Cochrane Database Syst Rev. 2017;8(8):CD006681. doi: 10.1002/14651858.CD006681.pub4
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  7. 7.↵
    Venous thromboembolism in over 16s: reducing the risk of hospital-acquired deep vein thrombosis or pulmonary embolism. National Institute for Health and Care Excellence. Last Updated August 13, 2019. Accessed November 2, 2021. nice.org.uk/guidance/ng89/chapter/Recommendations
  8. 8.↵
    1. van Adrichem RA,
    2. Nemeth B,
    3. Algra A,
    4. et al.
    Thromboprophylaxis after knee arthroscopy and lower-leg casting. N Engl J Med. 2017;376(6):515-525. doi: 10.1056/NEJMoa1613303
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  9. 9.↵
    1. Nemeth B,
    2. Douillet D,
    3. le Cessie S,
    4. et al.
    Clinical risk assessment model to predict venous thromboembolism risk after immobilization for lower-limb trauma. EClinicalMedicine. 2020;20:100270. doi: 10.1016/j.eclinm.2020.100270
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  10. 10.↵
    Standards & Research. Record your work clearly, accurately, and legibly. The Royal College of Surgeons of England. Accessed November 19, 2021. rcseng.ac.uk/standards-and-research/gsp/domain-1/1-3-record-your-work-clearly-accurately-and-legibly/
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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 Sep 2022, 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 Sep 2022, DOI: 10.31486/toj.22.0038
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Keywords

  • Ankle fractures
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  • orthopedics
  • venous thromboembolism

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