Adherence Between Thromboprophylaxis Prescriptions and Guidelines During the Post-partum Period After the Institution of a Local Protocol
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,000
- 试验地点
- 1
- 主要终点
- Level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol during the post-partum period
研究概览
简要总结
The purpose of this study is to determine the current level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol during the post-partum period. The institutional protocol is based on national and international guidelines.
详细描述
Venous thromboembolism (VTE) became the 4th cause of maternal mortality and the 2nd direct cause of maternal mortality in France.
The re are only few randomized studies on the thromboprophylaxis during the post-partum period. This expose some discrepancy between French guidelines, French Society of Anesthesia & Intensive Care Medecine (SFAR) and National College of French Gynecologists and Obstetricians (CNGOF ).
The duration and adequate dose of low molecular heparin prescriptions are unclear.
The level of adequacy of thromboprophylaxis prescriptions at Centre Hospitalier Sud Francilien with the SFAR recommendations appears to be less than 50 % in a preliminary unpublished study.
Since this assessment, institutional protocol synthesizing thromboprophylaxis guidelines during the post-partum was exposed and validated among medical staff (both anaesthesiologists ang obstetricians).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •>18 ages
- •Who had given birth at Centre Hospitalier Sud Francilien
- •Hospitalized during the puerperium at Centre Hospitalier Sud Francilien
- •Being informed of the clinical trial and had offered any opposition for data collection
排除标准
- •Curative treatment of thrombosis by Low molecular-weight or unfractioned heparin during pregnancy or post-partum period
- •Curative anticoagulant therapy for any cause
结局指标
主要结局
Level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol during the post-partum period
时间窗: at one year
Level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol during the post-partum period
次要结局
- Level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol after spontaneous or induced vaginal delivery.(at one year)
- Level of adequacy of the thromboprophylaxis prescriptions with the specific institutional protocol after a elective or urgent caesar section(at one year)
- causes of non-compliant prescriptions with the institutional protocol.(at one year)