PROPHYLAXIS FOR DEEP VENOUS TROMBOSIS IN PATIENTS WITH LOWER LIMB FRACTURES IN A REFERENCE HOSPITAL IN GOIANIA

Abstract

Introduction: Deep vein thrombosis (DVT) is characterized by the formation of deep vein thrombi. It is the main cause of pulmonary embolism (PE), and prophylaxis of DVT is extremely important. Objectives: To verify if the prophylaxis for DVT in patients with lower limb fractures in a public hospital for urgent care is being efficient, to identify the risk categories for DVT according to the Brazilian Society of Angiology and Vascular Surgery (SBACV) and To verify the number of physiotherapy visits performed in this population during hospitalization. Methodology: A quantitative and analytical cross-sectional study of 79 patients hospitalized with one or multiple fractures in the lower limb between April and June 2016. Data were collected in the medical records, and the protocol of risk stratification for SBPVV was applied. Results: Men corresponded to 75.9% of the sample. The age was 38.6 ± 18.2 years. 1.3% of the sample were stratified at low risk, 74.7% at medium risk and 24.1% at high risk for DVT. 3.8% of the sample did not receive medication prophylaxis. Those included in the study received physiotherapeutic care every 2.6 days during the hospitalization period and 2.5% of the sample presented complications, one of which was a death and a DVT with evolution to PE. Conclusions: The prophylaxis for DVT associated with physiotherapeutic maneuvers was effective in the majority of patients studied. Most patients were classified as at medium risk for developing DVT. The number of physical therapy sessions during the hospitalization period was considered low due to the lack of personnel associated with the public service in question.