The knowledge of South African venous thromboembolism: prophylactic and therapeutic practice guidelines of registrars in anaesthesiology and orthopaedic surgery at the University of the Witwatersrand
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Date
2018
Authors
Dadabhay, Zeenat
Journal Title
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Abstract
thromboembolism:
Prophylactic
and
therapeutic
practice
guideline
has
been
developed
to
aid
clinicians
with
the
correct
administration
of
thromboprophylaxis.
This
can
reduce
the
incidence
of
venous
thromboembolism
(VTE)
and
thus
the
associated
morbidity,
mortality
and
socio
economic
implications.
However,
studies
have
shown
that
without
other
interventions,
adherence
to
clinical
guidelines
is
poor.
Method:
A
prospective,
contextual,
descriptive
study
was
undertaken
to
determine
the
knowledge
of
registrars
in
anaesthesiology
and
orthopaedic
surgery
of
the
Venous
thromboembolism:
Prophylactic
and
therapeutic
practice
guideline
(2013).
A
self-‐-‐-‐administered
questionnaire
was
developed
in
consultation
with
experts.
Convenience
sampling
was
used
and
all
registrars
present
at
departmental
academic
meetings
were
invited
to
participate.
Results:
Of
the
participants
only
12
(12%)
obtained
the
specified
pass
mark
of
greater
than
or
equal
to
80%.
Of
the
participants
10
(14%)
of
the
anaesthetic
registrars
and
2
(7%)
of
the
orthopaedic
registrars
achieved
the
required
pass
mark.
Anaesthetic
registrars
achieved
a
mean
score
of
56%
.
Orthopaedic
registrars
achieved
a
mean
score
of
44%.
Two
junior
registrars
(4%)
and
10
senior
registrars
(18%)
achieved
the
required
pass
mark.
Senior
registrars
scored
significantly
(p=0.002)
higher
than
their
junior
colleagues
(56%
vs
48%)
Conclusion:
Knowledge
of
The
Guideline
amongst
registrars
was
poor
and
room
for
improvement
and
intervention
in
order
t
Description
Witwatersrand,
Johannesburg,
in
partial
fulfillment
of
the
requirements
for
the
degree
of
Master
of
Medicine
in
the
branch
of
Anaesthesiology
Johannesburg,
2018
Keywords
Prophylactic and Therapeutic Practice