Study on the effectiveness of an information system on the prevention and control of venous thromboembolism in elderly inpatients
10.3760/cma.j.issn.0254-9026.2020.05.009
- VernacularTitle:信息系统对防控老年住院患者静脉血栓栓塞症有效性的研究
- Author:
Xiaolan CHEN
1
;
Xinjie TONG
;
Lei PAN
;
Yong WANG
Author Information
1. 首都医科大学附属北京世纪坛医院呼吸与危重症医学科，北京 100038
- From:
Chinese Journal of Geriatrics
2020;39(5):522-525
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effectiveness of an information system on the prevention and control of venous thromboembolism(VTE)in elderly inpatients.Methods:Through retrospectively reviewing medical records of Beijing Shijitan Hospital and files of all patients admitted to the geriatric department of our hospital before and after an information management system was instituted, data of those diagnosed with deep venous thrombosis of the lower extremities, intermuscular venous thrombosis and/or pulmonary thromboembolism(PE)at discharge were collected.General information, prognosis of disease, risk factors for VTE, the detection rate and assessment rate of VTE and other factors were analyzed.Methods:A total of 146 patients were enrolled, and they were mainly elderly patients from the respiratory, cardiology and integrative medicine wards.Diabetes mellitus, cancer and chronic heart failure were the top-three high-risk diseases, and most patients were at high risk or very high risk.The rate of elderly patients assessed as at high risk for VTE on admission was higher after the institution of the information system than that before the institution(93.22% vs.24.66%, P<0.05). The rate of VTE patients receiving standard diagnosis and anticoagulant treatment procedures had an upward trend since the information system became available, compared with before(8.47% vs.5.48%, P>0.05). There was a downward trend in the incidence of PE and all-cause mortality with the use of the information system(3.39% vs.9.59%, 5.08% vs.9.59%, P>0.05). Conclusions:The use of information systems can effectively increase the risk assessment rate for VTE and reduce the incidence of related adverse events in hospitalized elderly patients.
