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ORIGINAL ARTICLE
Year : 2016  |  Volume : 19  |  Issue : 2  |  Page : 170-174

Knowledge and practice of prophylaxis of deep venous thrombosis: A survey among Nigerian surgeons


1 Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Edo, Nigeria
2 Department of Surgery, Aminu Kano University Teaching Hospital, Kano, Nigeria
3 Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria
4 Department of Surgery, University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, Nigeria
5 Department of Surgery, University College Hospital, Ibadan, Nigeria
6 Department of Surgery, Usman Dan Fodio University Teaching Hospital, Sokoto, Nigeria
7 Department of Community Medicine, College of Health Sciences, Delta State University, Abraka, Delta State, Nigeria
8 Department of Surgery, Imo State University Teaching Hospital, Orlu, Nigeria
9 Department of Surgery, Federal Medical Centre, Owerri, Imo, Nigeria

Correspondence Address:
E B Kesieme
Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Edo State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1119-3077.175961

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Background: Venous thromboembolism is a potentially dangerous condition that can lead to preventable morbidity and mortality among surgical patients. Objectives: We aimed to determine the knowledge and practice of surgeons practising in Tertiary Hospitals in Nigeria about prophylaxis of deep vein thrombosis (DVT). Materials and Methods: Eight Tertiary Institutions were selected from institutions in the geopolitical regions of the country by simple random sampling using balloting method. A semi-structured questionnaire was administered, and the response was obtained from 105 out of 254 surgeons. Results: The mean knowledge score was 5.81 ± 1.67, and only 33.3% have good knowledge about DVT prophylaxis. No statistical difference was observed between the different groups of surgeons. The mean practice score was 5.19 ± 1.8 and only 20% of surgeons have a good practice of DVT prophylaxis. The majority (90.5%) have encountered DVT whereas 83.5% have encountered pulmonary embolism in their practice. Most commonly encountered risk factors include prolonged immobility, advanced age, and pelvic surgery. Only 13.3% have used Well's score in the clinical evaluation of their patients. The prophylactic modality adopted varies, but most surgeons (77%) utilized both the pharmacological and mechanical methods. Low molecular weight heparin is the commonly used chemoprophylactic agent while a combination of early ambulation and limb physiotherapy is the most commonly preferred mechanical method of thromboprophylaxis. Conclusion: There is a deficiency in the knowledge and practice of DVT prophylaxis among surgeons in Nigeria. There is a need to improve both the knowledge and practice by introducing institutional guidelines or protocol for DVT prophylaxis for surgical patients.


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