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

Research output: Contribution to journalArticlepeer-review

Abstract

Aims and methodWe 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 implicationsMental 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.Declaration of interestNone.

Original languageEnglish
Pages (from-to)1-5
Number of pages5
JournalBJPsych Bulletin
DOIs
Publication statusE-pub ahead of print - 29 Apr 2019

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