SciELO - Scientific Electronic Library Online

vol.35 issue2Quality of medical prescriptions in two Lambayeque hospitals and its influence in understanding the written informationConditions reported as working occurrences in sick leave certificates issued in Peruvian Social Security, 2015 - 2016 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Acta Médica Peruana

On-line version ISSN 1728-5917


MARTINEZ-MONTALVO, Carlos M. et al. Experiencia en el uso de tromboprofilaxis farmacológica en un hospital colombiano de tercer nivelExperience with the use of pharmacological thromboprophylaxis in a tertiary care Colombian hospital. Acta méd. Peru [online]. 2018, vol.35, n.2, pp.108-115. ISSN 1728-5917.

Objective: To describe the characteristics of the population with non-surgical conditions who were prescribed pharmacological thromboprophylaxis in a tertiary care hospital, and to determine the indication according to the risk for developing venous thromboembolism (VTE) and bleeding using the Padua Scale and the IMPROVE Bleeding Score. Materials and Methods: This is an observational, descriptive, and cross-sectional study that included patients >18 years old from the internal medicine ward who had no surgical conditions, who were hospitalized for 48 hours as a minimum, between June 1st, 2015 and June 1st, 2016. When assessing the risk for VTE and bleeding the Padua scale and the IMPROVE Bleeding Score were used, respectively. Results: Five-hundred and thirty-one patients were included, half of them (51.78%) were male, their mean age was 66 years, and their average hospitalization time was 37.2 days. The most frequently used pharmacological indication was low molecular weight heparin (76.3%). According to the Padua scale, only 225 patients (42.37%) were at high risk for developing VTE; according to the IMPROVE Bleeding Score, 447 (84.18%) patients were at low risk for bleeding, and 84 patients (15.81%) were at high risk. Also, it was observed that patients with a >4 score in the PADUA scale, 21.33% had >7 points in the IMPROVE Bleeding Score; additionally, 20.23% of patients at high risk for bleeding according to the latter instrument had a bleeding episode. Conclusion: There was overuse of pharmacological thromboprophylaxis, which was reflected in the occurrence of bleeding episodes in patients who did not qualify for such indication

Keywords : Venous thromboembolism; Pulmonary embolism; Cardiovascular diseases.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License