ESTIMATED ANNUAL NUMBER OF US ACUTE-CARE HOSPITAL INPATIENTS MEETING ACCP CRITERIA FOR VENOUS THROMBOEMBOLISM PROPHYLAXIS
Author(s)
Huang W1, Cohen AT2, Zayaruzny M1, Wyman A1, Anderson F1
1University of Massachusetts Medical School, Worcester, MA, USA, 2Guy's and St Thomas' NHS Foundation Trust, London, UK
OBJECTIVES: To use the most recent available data (Y2014) to estimate the annual number of US acute-care hospital inpatients who could benefit from venous thromboembolism (VTE) prophylaxis. METHODS: We applied the 2012 American College of Chest Physicians (ACCP) Consensus VTE prophylaxis guideline to hospitalized patients based on the Clinical Classification System (CCS) codes for major surgery and acute medical illnesses available from the National Inpatient Sample (NIS), a nationwide acute-care hospital database sponsored by the US Agency for Health Care Quality and Research. RESULTS: Of a total of CONCLUSIONS: Approximately one-third of all patients hospitalized in the US meet ACCP criteria for VTE prophylaxis due to risk factors associated with surgery and/or an acute medical illness. Given that approximately 60% of all VTE events occurring in the community are related to recent acute-care hospitalization, providing universal, safe and effective VTE prophylaxis to this population affords an important opportunity to significantly reduce the incidence of VTE and to reduce the rate of hospital readmissions. These data provide support for developing and monitoring compliance with hospital-wide guidelines for VTE prevention. In addition, these data can support the estimation of costs and benefits of providing VTE prophylaxis to at risk US hospitalized patients.
Conference/Value in Health Info
2017-05, ISPOR 2017, Boston, MA, USA
Value in Health, Vol. 20, No. 5 (May 2017)
Code
PCV112
Topic
Health Service Delivery & Process of Care, Real World Data & Information Systems
Topic Subcategory
Health & Insurance Records Systems, Health Care Research, Treatment Patterns and Guidelines
Disease
Cardiovascular Disorders