{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:17:51Z","timestamp":1787764671525,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,8]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background and Aims:<\/jats:title>\n Thromboprophylaxis practice patterns are quite diverse in neurocritical care patients. The risk of venous thromboembolism remains high in this group due to prolonged immobilised status, extended length of stay and multiple comorbidities. The aim was to comprehend the thromboprophylaxis practices among neurocritical care practitioners in India.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n The cross-sectional online questionnaire-based survey was undertaken among the neurocritical care practitioners. Two investigators framed two sets of 15 questions in the first stage and reviewed them with experts. In the second stage, a set of 22 questions was prepared by a third investigator and pretested among ten experts. The questions were emailed to the participants with a link to the survey. The responses were analysed using Statistical Package For The Social Sciences software.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Of the 185 responses, 53% reported that thromboprophylaxis is practised less often in neurocritical care than in general critical care. The usage of pharmacoprophylaxis among neurosurgical cases, traumatic brain injuries and brain strokes varies widely. There was a preference to use pharmacoprophylaxis in patients with Glasgow Coma Scale (GCS) below nine among many (68.2%), and low molecular weight heparin (LMWH) was the preferred choice in such cases. The reluctance to use heparin because of fear of bleed was high (82%). Most (78.9%) believed pharmacoprophylaxis could reduce venous thromboembolic events (VTEs) and mortality.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Thromboprophylaxis practices among neurocritical care patients remain quite heterogeneous. There is a dilemma in patients with intracranial haemorrhagic lesions regarding pharmacoprophylaxis.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ija.ija_862_22","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T02:57:06Z","timestamp":1691981826000},"page":"703-707","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Thromboprophylaxis practices in neurocritical care\u2014A cross-sectional survey among neurocritical care practitioners"],"prefix":"10.4103","volume":"67","author":[{"given":"Sharmili","family":"Sinha","sequence":"first","affiliation":[{"name":"Senior Consultant, Critical Care, Apollo Hospital, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhuvna","family":"Ahuja","sequence":"additional","affiliation":[{"name":"Lok Nayak Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Pandit","sequence":"additional","affiliation":[{"name":"Critical Care, Sir HN Reliance Foundation Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Mishra","sequence":"additional","affiliation":[{"name":"Intensivist and Internist, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranajit","family":"Chatterjee","sequence":"additional","affiliation":[{"name":"Senior Consultant, Swami Dayanand Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anirban H","family":"Choudhuri","sequence":"additional","affiliation":[{"name":"G. B. Pant Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,8,15]]},"reference":[{"key":"R1-20240902","first-page":"e1982","article-title":"Deep vein thrombosis in acute stroke-A systemic review of the literature","volume":"9","author":"Khan","year":"2017","journal-title":"Cureus"},{"key":"R2-20240902","doi-asserted-by":"crossref","first-page":"e0234957","DOI":"10.1371\/journal.pone.0234957","article-title":"Venous thromboembolism prevention in intracerebral hemorrhage:A systematic review and network meta-analysis","volume":"15","author":"Yogendrakumar","year":"2020","journal-title":"PLoS One"},{"key":"R3-20240902","doi-asserted-by":"crossref","first-page":"104958","DOI":"10.1016\/j.jstrokecerebrovasdis.2020.104958","article-title":"In-hospital venous thromboembolism is associated with poor outcome in patients with spontaneous intracerebral hemorrhage:A multicenter, prospective study","volume":"29","author":"Li","year":"2020","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"R4-20240902","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1186\/s12959-021-00345-z","article-title":"Patients with venous thromboembolism after spontaneous intracerebral hemorrhage:A review","volume":"19","author":"Cai","year":"2021","journal-title":"Thromb J"},{"key":"R5-20240902","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1111\/j.1538-7836.2011.04241.x","article-title":"Efficacy and safety of anticoagulants in the prevention of venous thromboembolism in patients with acute cerebral hemorrhage:A meta-analysis of controlled studies","volume":"9","author":"Paciaroni","year":"2011","journal-title":"J Thromb Haemost"},{"key":"R6-20240902","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1016\/S0140-6736(07)60633-3","article-title":"The efficacy and safety of enoxaparin versus unfractionated heparin for the prevention of venous thromboembolism after acute ischaemic stroke (PREVAIL Study):An open-label randomised comparison","volume":"369","author":"Sherman","year":"2007","journal-title":"Lancet"},{"key":"R7-20240902","doi-asserted-by":"crossref","first-page":"906","DOI":"10.3171\/2017.2.JNS162040","article-title":"Chemical venous thromboembolism prophylaxis in neurosurgical patients:An updated systematic review and meta-analysis","volume":"129","author":"Khan","year":"2018","journal-title":"J Neurosurg"},{"key":"R8-20240902","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1097\/CCM.0000000000002247","article-title":"Prophylaxis of venous thrombosis in neurocritical care patients:An executive summary of evidence-based guidelines:A statement for healthcare professionals from the Neurocritical Care Society and Society of Critical Care Medicine","volume":"45","author":"Nyquist","year":"2017","journal-title":"Crit Care Med"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_862_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:18:25Z","timestamp":1787761105000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_862_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8]]},"references-count":8,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_862_22","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8]]},"assertion":[{"value":"2022-10-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-12","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}