Awareness and Perception of Hospitalized Patients on Thromboembolism and Thromboprophylaxis: A Cross-Sectional Study in Sana’a-Yemen

Purpose Patients’ awareness toward VTE and thromboprophylaxis is critical for medication adherence. This study aimed to evaluate the patient’s awareness and perception towards VTE and its prophylaxis and to assess patient’s satisfaction towards the information given by the medical staff. Participants and Methods A cross-sectional survey was conducted among hospitalized patients who received VTE prophylaxis in public and private hospitals in Sana’a, Yemen. Besides sociodemographic variables, participants’ awareness and perception of VTE and its prophylaxis were evaluated. Variables’ association with VTE awareness were analyzed using univariable and multivariable logistic regression using SPSS. Results A total of 396 of the hospitalized patients agreed to participate in the study, with 31% (n = 121) have ever heard about VTE. The multivariable logistic regression findings revealed that the participants who did not have a profession had OR = 17.182 (P < 0.001) of being unaware of VTE compared with those who had one. Participants who did not have a personal history of VTE had OR = 7.580 (P < 0.001) of being unaware of DVT/PE compared with the participants who had a personal history of VTE. Male participants had OR = 2.839 (P < 0.005) of being unaware of DVT/PE compared with female participants. Participants who were illiterate had OR = 2.832 (P < 0.022) of being unaware of DVT/PE compared with participants with a higher level of education. Conclusion The study revealed lack of awareness and perception of VTE and its prophylaxis among hospitalized patients in Yemen. The patients who are unaware of the disease have wrong perception about their role in DVT prophylaxis. Patient’s education must be considered in healthcare setting to improve patient’s health outcomes.

[1]  Song Gong,et al.  New Oral Anticoagulants for Venous Thromboembolism Prophylaxis in Total Hip and Knee Arthroplasty: A Systematic Review and Network Meta-Analysis , 2022, Frontiers in Pharmacology.

[2]  M. Alshehri,et al.  Awareness, knowledge, and attitude toward venous thromboembolism among Aseer Population, Saudi Arabia , 2021, Journal of family medicine and primary care.

[3]  M. Almegren,et al.  Awareness About Venous Thromboembolism Among Saudi Female Who Use Oral Contraceptive Pills: A Descriptive Cross-Sectional Study , 2021 .

[4]  A. Folsom,et al.  Exploring Opportunities for Primary Prevention of Unprovoked Venous Thromboembolism: Ready for Prime Time? , 2020, Journal of the American Heart Association.

[5]  A. Jarab,et al.  Awareness and Perception of Thromboembolism and Thrombo-prophylaxis among Hospitalized Patients in Jordan , 2020, Current clinical pharmacology.

[6]  H. Heidbuchel,et al.  Differences in knowledge among patients with atrial fibrillation receiving non-vitamin K antagonist oral anticoagulants and vitamin K antagonists. , 2018, Kardiologia polska.

[7]  E. Bernhofer,et al.  Effectiveness of a patient education plan on knowledge of post‐op venous thromboembolism survival skills , 2018, Journal of clinical nursing.

[8]  Abdulkareem M. Albekairy,et al.  Awareness of venous thromboembolism and thromboprophylaxis among hospitalized patients: a cross-sectional study , 2017, Thrombosis Journal.

[9]  D. Fitzmaurice,et al.  Patients' perceptions and experiences of the prevention of hospital-acquired thrombosis: a qualitative study , 2016, BMJ Open.

[10]  W. Lee,et al.  Public Awareness of Stroke and Its Predicting Factors in Korea: a National Public Telephone Survey, 2012 and 2014 , 2016, Journal of Korean medical science.

[11]  Munira A. Dughish,et al.  Determination of medical waste composition in hospitals of Sana'a city, Yemen , 2016 .

[12]  E. Youness,et al.  Effect of Educational Nursing program on reducing the incidence of Venous Thromboembolism among postpartum women. , 2016 .

[13]  S. Schneeweiss,et al.  Patients’ perception about risks and benefits of antithrombotic treatment for the prevention of venous thromboembolism (VTE) after orthopedic surgery: a qualitative study , 2015, BMC Musculoskeletal Disorders.

[14]  R. Preblick,et al.  Review of the cost of venous thromboembolism , 2015, ClinicoEconomics and outcomes research : CEOR.

[15]  G. Raskob,et al.  Global public awareness of venous thromboembolism , 2015, Journal of thrombosis and haemostasis : JTH.

[16]  G. Raskob,et al.  Thrombosis: a major contributor to the global disease burden , 2014, Journal of thrombosis and haemostasis : JTH.

[17]  K. Alzoubi,et al.  Awareness of patients who undergo cesarean section about venous thromboembolism prophylaxis. , 2013, Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing.

[18]  S. Goldhaber,et al.  Patient education program for venous thromboembolism prevention in hospitalized patients. , 2012, The American journal of medicine.

[19]  S. Goldhaber Risk factors for venous thromboembolism. , 2010, Journal of the American College of Cardiology.

[20]  Tom Treasure,et al.  Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital: summary of the NICE guideline , 2010, Heart.

[21]  M. Renvall,et al.  Optimizing prevention of hospital-acquired venous thromboembolism (VTE): prospective validation of a VTE risk assessment model. , 2009, Journal of hospital medicine.

[22]  J. Emed,et al.  Knowledge of venous thromboembolism (VTE) prevention among hospitalized patients. , 2008, Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing.

[23]  John A. Heit,et al.  The epidemiology of venous thromboembolism , 2003, Journal of Thrombosis and Thrombolysis.

[24]  J. Heit,et al.  Risk factors for venous thromboembolism. , 2003, Clinics in chest medicine.

[25]  M. Chisholm-Burns Pharmacotherapy : Principles and Practice , 2008 .