Hospital Surveillance Practices for Venous Thromboembolism Find No Correlation to Post-Discharge VTE Rates, AHRQ-Funded Study Indicates
Hospitals with higher surveillance rates for venous thromboembolism (VTE) have higher inpatient rates of VTE but do not see those rates decline once patients are discharged, a new AHRQ-funded study has found. However, hospitals with higher inpatient VTE rates also have higher post-discharge rates, suggesting that surveillance may be influenced by the observed rates and not just the practice of monitoring alone. In the study of nearly 30,000 patients at 79 U.S Department of Veterans Affairs (VA) hospitals, researchers matched administrative data from the Surgical Care Improvement Program’s (SCIP) VTE measurement population to outcomes from the VA Surgical Quality Improvement Program. They found that 296 patients, or 1.4 percent, had experienced a VTE during the index hospitalization, and that 114 patients, or 0.4 percent, did so within 30 days following surgery. The authors concluded that adhering to VA’s surgical improvement program alone is an inadequate assessment of hospital quality because it is not associated with VTE outcomes. According to the study, hospitals seeking to reduce VTE rates should implement evidence-based guidelines beyond those required for by SCIP compliance. The study and abstract, “Association Between Inpatient Surveillance and Venous Thromboembolism Rates After Hospital Discharge,” were published online April 1 in the Journal of the American Medical Association.
JAMA Surg. 2015 Jun 1;150(6):520-7. doi: 10.1001/jamasurg.2015.35.
Association Between Inpatient Surveillance and Venous Thromboembolism Rates After Hospital Discharge.
DESIGN, SETTING, AND PARTICIPANTS:
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