{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:28:08Z","timestamp":1761744488653},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. bras. pneumol."],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:p>OBJETIVO: Avaliar a pr\u00e1tica de profilaxia para tromboembolia venosa (TEV) em pacientes em um hospital geral. M\u00c9TODOS: Estudo de coorte transversal conduzido no Hospital Nossa Senhora da Concei\u00e7\u00e3o, localizado na cidade de Porto Alegre (RS), com uma amostra constitu\u00edda de pacientes internados selecionados randomicamente entre outubro de 2008 e fevereiro de 2009. Foram inclu\u00eddos pacientes maiores de 18 anos e internados por mais de 48 h. Os crit\u00e9rios de exclus\u00e3o foram pacientes em uso de anticoagulantes, hist\u00f3ria de doen\u00e7a tromboemb\u00f3lica, gesta\u00e7\u00e3o e puerp\u00e9rio. A adequa\u00e7\u00e3o da profilaxia foi avaliada seguindo as recomenda\u00e7\u00f5es de um protocolo criado pela institui\u00e7\u00e3o e tendo como base principal a diretriz da American College of Chest Physician, oitava edi\u00e7\u00e3o. RESULTADOS: Foram inclu\u00eddos 262 pacientes com m\u00e9dia de idade de 59,1 \u00b1 16,6 anos. Os fatores de risco mais comuns foram imobiliza\u00e7\u00e3o (70,6%), infec\u00e7\u00e3o (44,3%), c\u00e2ncer (27,5%), obesidade (23,3%) e cirurgia maior (14,1%). Na avalia\u00e7\u00e3o do n\u00edvel de risco para TEV, 143 (54,6%) e 117 pacientes (44,7%), respectivamente, foram classificados como de risco alto e moderado. No geral, 46,2% dos pacientes tiveram profilaxia adequada, assim como 25% dos pacientes com tr\u00eas ou mais fatores de risco e 18% dos pacientes com c\u00e2ncer, e houve diferen\u00e7as estatisticamente significativas entre esses grupos quando comparados \u00e0queles com menos de tr\u00eas fatores de risco e sem c\u00e2ncer (p &lt; 0,001 para ambos). CONCLUS\u00d5ES: Os dados demonstram que quase a totalidade dos pacientes do hospital estava em risco para TEV e que menos da metade deles recebeu profilaxia adequada, dados esses semelhantes aos da literatura. A inadequa\u00e7\u00e3o da profilaxia \u00e9 surpreendentemente maior em pacientes de alto risco.<\/jats:p>","DOI":"10.1590\/s1806-37132011000200005","type":"journal-article","created":{"date-parts":[[2017,3,31]],"date-time":"2017-03-31T14:57:43Z","timestamp":1490972263000},"page":"160-167","source":"Crossref","is-referenced-by-count":4,"title":["Profilaxia para tromboembolia venosa em um hospital geral"],"prefix":"10.1590","volume":"37","author":[{"given":"Fernanda","family":"Fuzinatto","sequence":"first","affiliation":[{"name":"Hospital Nossa Senhora da Concei\u00e7\u00e3o; Hospital de Cl\u00ednicas de Porto Alegre,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9","family":"Wajner","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora da Concei\u00e7\u00e3o"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando Starosta de","family":"Waldemar","sequence":"additional","affiliation":[{"name":"Hospital Nossa Senhora 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