{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T00:28:50Z","timestamp":1718238530110},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"abstract":"<jats:p>Objetivos. Evaluar la inadecuaci\u00f3n de la tromboprofilaxis farmacol\u00f3gica, seg\u00fan la escala Padua (PPS), para prevenir la enfermedad tromboemb\u00f3lica venosa (ETV) entre los pacientes que ingresan desde el servicio de urgencias hospitalario (SUH) por patolog\u00eda m\u00e9dica, as\u00ed como las variables asociadas a su uso inadecuado. M\u00e9todo. Estudio de cohortes, prospectivo, multic\u00e9ntrico donde participaron 15 SUH. Se incluyeron los pacientes atendidos que requirieron ingreso por enfermedad m\u00e9dica durante 7 d\u00edas del primer trimestre de 2022. La inadecuaci\u00f3n de la tromboprofilaxis farmacol\u00f3gica se defini\u00f3 como la no utilizaci\u00f3n en pacientes clasificados por PPS de alto riesgo sin contraindicaciones absolutas para su uso (hemorragia activa o trombopenia grave) o su utilizaci\u00f3n en pacientes de riesgo bajo o con contraindicaciones absolutas. Se ajust\u00f3, para cada grupo de riesgo, un modelo de regresi\u00f3n log\u00edstica para identificar las variables asociadas a la inadecuaci\u00f3n. Resultados. Se incluyeron 630 pacientes, 450 (71,4%) ten\u00edan riesgo alto y 180 (28,6%) riesgo bajo para ETV seg\u00fan la PPS. De ellos, la tromboprofilaxis fue inadecuada en 248 pacientes (39,4%) (165 ten\u00edan riesgo alto pero no recibieron tromboprofilaxis, 1 la recibi\u00f3 teniendo trombopenia grave y 82 ten\u00edan riesgo bajo pero recibieron tromboprofilaxis). Las variables asociadas con la inadecuaci\u00f3n en pacientes de alto riesgo fueron trauma o cirug\u00eda recientes con odds ratio (OR) de OR 5,53 (IC 95%: 1,58-19,34), presencia de factores de riesgo hemorr\u00e1gico con OR de 2,61 (IC 95%: 1,44-4,73), e infecci\u00f3n del tracto urinario con OR de 2,29 (IC 95%: 1,07-4,87) y enfermedad gastrointestinal con OR de 4,30 (IC 95%: 1,71-10,85) como motivos de ingreso. Conclusiones. En los SUH espa\u00f1oles, el uso inadecuado de la tromboprofilaxis farmacol\u00f3gica es elevado. Algunas caracter\u00edsticas cl\u00ednicas se asocian al uso inadecuado de dicha tromboprofilaxis.<\/jats:p>","DOI":"10.55633\/s3me\/051.2024","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T09:53:25Z","timestamp":1718186005000},"source":"Crossref","is-referenced-by-count":0,"title":["Prophylaxis of venous thromboembolism in hospitalized patients admitted from Spanish emergency departments: the PROTESU II study"],"prefix":"10.55633","author":[{"given":"C\u00e9sar","family":"Rinc\u00f3n D\u00edaz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Jim\u00e9nez Hern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahd","family":"Beddar Chaib","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Isabel","family":"Condon Abanto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda","family":"Cort\u00e9s Ayaso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Lozano Polo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leticia","family":"Guirado Torrecillas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9ctor","family":"Alonso Valle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00f3nica","family":"Olid Velilla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Jim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ram\u00f3n","family":"Lecumberri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Ruiz Artacho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2024,6,12]]},"container-title":["Emergencias"],"original-title":["Profilaxis de la enfermedad tromboemb\u00f3lica venosa en pacientes hospitalizados por patolog\u00eda m\u00e9dica desde los servicios de urgencias espa\u00f1oles: estudio PROTESU II"],"deposited":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T09:53:28Z","timestamp":1718186008000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/profilaxis-de-la-enfermedad-tromboembolica-venosa-en-pacientes-hospitalizados-por-patologia-medica-desde-los-servicios-de-urgencias-espanoles-estudio-protesu-ii\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,12]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/051.2024","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,12]]}}}