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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2015 Nov 23

language: English

Venous thromboembolism – the prevailing approach to diagnosis, prevention and treatment among Internal Medicine practitioners

Markel A. 1, 3, Gavish I. 2, Kfir H. 1, Rimbrot S. 1, 3

1 Department of Internal Medicine, Haemek Medical Center Afula, Israel;
2 Hematology Unit, Haemek Medical Center Afula, Israel;
3 Rappaport Faculty of Medicine, Technion, Haifa, Israel


INTRODUCTION: venous thromboembolism (VTE) is the third most common cause of death and the leading cause of sudden death in hospitalized medical patients. Despite the existence of guidelines for prevention and treatment of this disorder, their implementation in everyday life is not always accomplished.
METHODS: We performed a survey among directors of Internal Medicine departments in our country in order to evaluate their attitude and approach to this issue. A questionnaire with pertinent questions regarding prevention and treatment of VTE, including deep vein thrombosis (DVT) and pulmonary embolism (PE) was sent to each one of the directors of Internal Medicine Departments around the country.
RESULTS: Sixty nine out of 97 (71%) of the Internal Medicine departments directors responded the questionnaire. We found that several of the current guidelines were followed in a reasonable way. On the other hand, heterogeneity of responses was also present and the performance of current guidelines was imperfectly followed, and showed to be deficient in several aspects.
CONCLUSIONS: An effort should be done in order to reemphasize and put in effect current guidelines for the prevention and treatment of VTE among hospitalists and Internal Medicine practitioners.

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