Application effectiveness of a new preventive management model-the multi-disciplinary doctor patient interactiv e approach in preventing venous thromboembolism in patients after heart valve surgery
Objective To explore the effectiveness of a new preventive management model-the multi-disciplinary doctor patient interactive approach in preventing venous thromboembolism(VTE)in patients after cardiac valve surgery.Methods A total of 1200 patients receiving heart valve surgery at the Cardiac Surgery Center,Beijing Anzhen Hospital,Capital Medical University from January 2021 to December 2022 were included.They were divided into control group and intervention group,with 600 cases in each group by random number table method.The control group adopted basic preventive measures,and the intervention group implemented a new preventive management model multi-disciplinary doctor patient interaction measures based on the control group.The incidence of perioperative VTE,pulmonary embolism and all cause mortality were observed in the two groups.Results After intervention,the incidence of DVT in the intervention group was lower than that in the control group,and the difference was statistically significant(P＜0.05).There was no significant difference in the incidence of in hospital pulmonary embolism and early postoperative all cause mortality between the two groups(P＞0.05).The accuracy of VTE risk assessment in intervention group was higher than that in control group,and the difference was statistically significant(P＜0.05).Conclusion The novel VTE prevention and management model multi-disciplinary doctor patient interaction can effectively reduce the incidence of VTE in patients undergoing heart valve surgery,provide an important basis for the prevention and management of VTE after cardiac surgery,and provide a useful reference for improving perioperative management.
万方数据
维普
