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1 results

  • Venous thromboembolism risk in psychiatric in-patients: a multicentre cross-sectional study
  • Natalie Ellis, Carla-Marie Grubb, Sophie Mustoe, Eleanor Watkins, David Codling, Sarah Fitch, Lucy Stirland, Munzir Quraishy, Josie Jenkinson, Judith Harrison
  • Journal: BJPsych Bulletin / Volume 43 / Issue 6 / December 2019
  • Published online by Cambridge University Press: 29 April 2019, pp. 255-259
  • Print publication: December 2019
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  • View abstract
    Aims and method

    We assessed venous thromboembolism (VTE) risk, barriers to prescribing VTE prophylaxis and completion of VTE risk assessment in psychiatric in-patients. This was a cross-sectional study conducted across three centres. We used the UK Department of Health VTE risk assessment tool which had been adapted for psychiatric patients.

    Results

    Of the 470 patients assessed, 144 (30.6%) were at increased risk of VTE. Patients on old age wards were more likely to be at increased risk than those on general adult wards (odds ratio = 2.26, 95% CI 1.51–3.37). Of those at higher risk of VTE, auditors recorded concerns about prescribing prophylaxis in 70 patients (14.9%). Only 20 (4.3%) patients had a completed risk assessment.

    Clinical implications

    Mental health in-patients are likely to be at increased risk of VTE. VTE risk assessment is not currently embedded in psychiatric in-patient care. There is a need for guidance specific to this population.