(4) Strategies aimed at prevention

(4) Strategies aimed at prevention of DVT/PE among hospital patients are much more rigorously applied now than was the case in 2004. All hospital patients are now assessed for risk of venous thromboembolism at the time of admission. Simply by virtue of the elective procedure (hip replacement) that Mrs Waters was about to undergo she would have been identified as 'at risk'. Her underlying chronic condition, rheumatoid arthritis would have been identified as one that increases that risk. She would now receive both mechanical and pharmaceutical prophylaxis within hours of her operation (subject to pre-operative assessment of bleeding risk), and would be encouraged to drink sufficiently to avoid postoperative dehydration. Mobility would also be encouraged as soon after the operation as possible, and she would be educated before discharge about how she can contribute to avoidance of VTE during convalescence. All these measures ensure that it is much less likely that Mrs Waters would suffer post-operative VTE if she received a hip replacement today.

ผลลัพธ์ (แอฟริกา) 1:

(4) Strategieë wat gemik is op die voorkoming van DVT / PE onder hospitaalpasiënte is baie meer streng nou toegepas as wat die geval in 2004. Al die hospitaal pasiënte word nou geëvalueer word vir die risiko van veneuse embolie ten tyde van die opname was. Eenvoudig uit hoofde van die elektiewe prosedure (heupvervanging) dat mev Waters was op die punt om te ondergaan sy sou gewees het geïdentifiseer as 'n risiko. Haar onderliggende chroniese toestand, rumatoïede artritis sou gewees het as een wat die risiko verhoog. Sy sou ontvang nou beide meganiese en farmaseutiese profilakse binne enkele ure na haar operasie (onderhewig aan voorafmagtiging narkose evaluering van bloeding risiko), en sal aangemoedig word om voldoende te drink om postoperatiewe dehidrasie te voorkom. Mobiliteit sal ook so gou aangemoedig ná die operasie moontlik, en sy sal voor ontslag opgevoed word oor hoe sy kan bydra tot die vermyding van VTE in herstellingsoord. Al hierdie maatreëls te verseker dat dit baie minder waarskynlik dat mev Waters postoperatiewe VTE sou ly indien sy vandag het 'n heupvervanging.