Year : 2016 | Volume
: 19 | Issue : 2 | Page : 170--174
Knowledge and practice of prophylaxis of deep venous thrombosis: A survey among Nigerian surgeons
EB Kesieme1, BJ Arekhandia1, IM Inuwa2, IC Akpayak3, EE Ekpe4, OA Olawoye5, A Umar6, NS Awunor7, EC Amadi8, IJ Ofoegbu9
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
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.
E B Kesieme
Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Edo State
|How to cite this article:|
Kesieme E B, Arekhandia B J, Inuwa I M, Akpayak I C, Ekpe E E, Olawoye O A, Umar A, Awunor N S, Amadi E C, Ofoegbu I J. Knowledge and practice of prophylaxis of deep venous thrombosis: A survey among Nigerian surgeons.Niger J Clin Pract 2016;19:170-174
|How to cite this URL:|
Kesieme E B, Arekhandia B J, Inuwa I M, Akpayak I C, Ekpe E E, Olawoye O A, Umar A, Awunor N S, Amadi E C, Ofoegbu I J. Knowledge and practice of prophylaxis of deep venous thrombosis: A survey among Nigerian surgeons. Niger J Clin Pract [serial online] 2016 [cited 2021 Sep 27 ];19:170-174
Available from: https://www.njcponline.com/article.asp?issn=1119-3077;year=2016;volume=19;issue=2;spage=170;epage=174;aulast=Kesieme;type=0