Clinical application of integrated medical anti-suppression system in orthopedic wards

Objective To explore the clinical application value of the integrated venous thromboembolism (VTE) prevention and control system for orthopedics. Methods The clinical medical records of orthopedic patients admitted to Shunde Hospital of Jinan University from October 2015 to March 2019 were collected. The inclusion criteria: injury to admission time≤24 h; orthopedic surgery and complete medical records; age≥18 years old. Exclusion criteria: the patients who had VTE before admission, the patients were taking anticoagulant drugs, severe mental disorders and communication difficulties; contraindications of VTE medications and physical control. A total of 215 patients admitted to the VTE prevention and control system from December 2017 to March 2019 were selected as the study group. Another 180 patients who were admitted to the VTE prevention and control system from October 2015 to November 2017 were selected as the control group. All the patients were followed up for more than three months. The compliance with VTE prevention and treatment, the incidence of deep venous thrombosis (DVT), pulmonary thromboembolism (PTE), and the incidence of major bleeding events were observed. The incidence of medical disputes related to VTE was analyzed by chi-square test; the hospitalization time was compared and analyzed by t test. Results The compliance of VTE in the study group was 93.0%, and that in the control group was 5.0% (χ2=304.680, P 0.05). The incidence of VTE-related medical disputes was zero in the study group and 2.8% in the control group. The difference between the two groups was statistically significant (χ2=4.030, P<0.05). The hospitalization time of the study group was (14.0±3.0) d, which was less than that of the control group (15.7±3.4) d (t=2.622, P<0.05). Conclusion The implementation of VTE prevention and control system for orthopedics can effectively improve the compliance of patients with VTE prevention, reduce the incidence of VTE, PTE, mortality and VTE-related medical disputes, shorten the length of hospital stay, without increasing the incidence of major bleeding events. Key words: Venous thromboembolism; Patient care; Preventive health services