Differences in the prevention and incidence of maternal venous thromboembolism according to the type of institution in Japan in 2018: A sub‐analysis of national questionnaire surveillance.
Aim: To clarify the relation between institutions capacity to manage venous thromboembolism (VTE) and its incidence in pregnant women throughout Japan. Methods: Among the 2299 institutions that received the surveillance questionnaire, 666 (29.0%) responded, after which data from 295 961 women who ga...
| Publicado en: | Journal of Obstetrics & Gynaecology Research Vol. 48; no. 3; pp. 663 - 673 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=155552894&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 155552894 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13418076 Q17 jtl: Journal of Obstetrics & Gynaecology Research issn: 13418076 maglogo: Y pubinfo: dt: Mar2022 vid: 48 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 155552894 154307279 155552894 155552894 10.1111/jog.15100 155552894 ppf: 663 ppct: 10 formats: tig: atl: Differences in the prevention and incidence of maternal venous thromboembolism according to the type of institution in Japan in 2018: A sub‐analysis of national questionnaire surveillance. aug: au: Morikawa, Mamoru Adachi, Tomoko Itakura, Atsuo Nii, Masafumi Nakabayashi, Yasushi Kobayashi, Takao affil: Department of Obstetrics and Gynecology, Kansai Medical University, Hirakata, Japan sug: subj: Venous Thromboembolism Epidemiology Expectant Mothers Organizations Japan Implementation Science Practice Guidelines Questionnaires Perinatal Care Methods Obstetric Emergencies Maternal Attitudes Women ab: Aim: To clarify the relation between institutions capacity to manage venous thromboembolism (VTE) and its incidence in pregnant women throughout Japan. Methods: Among the 2299 institutions that received the surveillance questionnaire, 666 (29.0%) responded, after which data from 295 961 women who gave birth at those institutions in 2018 were analyzed. Incidences and characteristics of antepartum and postpartum VTE in perinatal medical centers (PMCs), general hospital with obstetric facilities (GHs), and maternal clinic with beds (MCs) were then determined. Results: The frequencies at which routine antepartum and postpartum thromboprophylaxis for high‐risk women and routine transport to the more advanced medical institutions upon antepartum and postpartum pulmonary thromboembolism (PE) onset were performed differed significantly according to types of institution (PMCs: 92.4%, 96.2%, 23.8%, and 21.2%; GHs: 76.5%, 80.6%, 58.8%, and 54.1%; MCs: 29.2%, 41.7%, 96.5%, and 96.2%, respectively). Among the 295 961 women analyzed, 243 (0.082%) developed VTE. Incidences of antepartum VTE differed significantly according to institution types (PMCs: 106.4, GHs: 51.6, and MCs: 11.6 per 100 000 women). PMCs and GHs had significantly higher incidences of postpartum VTE compared to MCs (43.3 and 26.6 vs. 10.7 per 100 000 women, respectively), although PMCs and GHs had similar incidences. Among the four women (1.4%) who died due to VTE, three and one developed a PE in a PMC and MC, respectively. Conclusions: PMCs had higher incidences of VTE despite their more frequent performance of thromboprophylaxis. Several pregnant women with higher risk of VTE transported to PMCs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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