Edinburgh Research Explorer

Venous thromboembolism risk in psychiatric in-patients: a multicentre cross-sectional study

Research output: Contribution to journalArticle

  • Natalie Ellis
  • Carla-Marie Grubb
  • Sophie Mustoe
  • Eleanor Watkins
  • David Codling
  • Sarah Fitch
  • Lucy Stirland
  • Munzir Quraishy
  • Josie Jenkinson
  • Judith Harrison

Related Edinburgh Organisations

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

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.

ID: 101318303