| Unique ID issued by UMIN | UMIN000050341 |
|---|---|
| Receipt number | R000057322 |
| Scientific Title | Development of an informative manual on venous thromboembolism |
| Date of disclosure of the study information | 2023/03/01 |
| Last modified on | 2023/02/14 17:59:42 |
Development of an informative manual on venous thromboembolism
Development of an informative manual on venous thromboembolism
Development of an informative manual on venous thromboembolism
Development of an informative manual on venous thromboembolism
| Japan |
Patients admitted to Yokohama City University Hospital
| Medicine in general | Cardiology | Nephrology |
| Surgery in general |
Others
NO
To examine the use of the manual for prevention of venous thromboembolism among inpatients of Yokohama City University Hospital, and to verify the effectiveness of the manual from the perspective of medical safety.
Safety,Efficacy
To examine the utilization rate of the new manual in each department, the number of cases of PTE and the number of bleeding cases and evaluate whether the manual contributes to improving medical safety.
1.Number of cases of PTE
2.Number of bleeding cases
Systemic search is performed on the names of diseases in the electronic medical record, and hand search is also performed.
For the number of bleeding cases, the criteria proposed by BARC (Bleeding Academic Research Consortium) will be used.
To evaluate the cost-effectiveness of implementing the new manual; compare the number of PTEs and bleeding cases with previous reports to verify if PTEs are reduced and bleeding risk is controlled.
To examine the differences between the groups using and not using the template and collect information on the types and frequency of tests, procedures, and medications used to prevent VTE.
The effects on hospital management will be verified in conjunction with an examination of the status of various additional fees.
Observational
| 18 | years-old | <= |
| Not applicable |
Male and Female
Patients who meet all of the following criteria will be considered
1. hospitalized patients who underwent surgery in the operating room.
2. patients with malignant tumors who have a Khorana risk score of 1 or higher and who received chemotherapy during hospitalization
3. stroke inpatients with paralysis in the lower extremities or a Padua prediction score of 4 or higher.
Patients who are in conflict with any of the following will not be included in this study:
1. Patients undergoing local anesthesia surgery with no ADL restrictions before or after surgery.
2. Patients who have already been anticoagulated preoperatively.
3. Patients in the obstetric field who are pregnant, in labor, or in the postpartum period.
5000
| 1st name | Shintaro |
| Middle name | |
| Last name | Minegishi |
Yokohama City University Hospital
Cardiovascular Medicine
236-0004
3-9, Kanazawa, Fukuura, Yokohama
045-787-2635
minegishi.shi.fb@yokohama-cu.ac.jp
| 1st name | Shintaro |
| Middle name | |
| Last name | Minegishi |
Yokohama City University Hospital
Cardiovascular Medicine
236-0004
3-9, Kanazawa, Fukuura, Yokohama
045-787-2635
minegishi.shi.fb@yokohama-cu.ac.jp
Yokohama City University Hospital
Yokohama City University Hospital
Other
Yokohama City University Hospital
3-9, Kanazawa, Fukuura, Yokohama
045-787-2635
minegishi.shi.fb@yokohama-cu.ac.jp
NO
| 2023 | Year | 03 | Month | 01 | Day |
Unpublished
Preinitiation
| 2022 | Year | 12 | Month | 27 | Day |
| 2023 | Year | 01 | Month | 12 | Day |
| 2023 | Year | 03 | Month | 01 | Day |
| 2025 | Year | 03 | Month | 31 | Day |
Analysis of the primary endpoint
The rates of PTE occurrence and hemorrhage in eligible hospitalized patients will be calculated. Chi-square test will be used for comparisons among the three groups: surgical cases, malignancy cases, and stroke cases.
Analysis of secondary endpoints
Pearson's chi-square test will be used to examine differences between the template use and non-use groups and to compare proportions between the two groups, including the presence of complications. Logistic regression analysis will be used to adjust for covariates. A t-test will be used to compare means between the two groups, such as length of hospital stay. Analysis of covariance is used to adjust for covariates.
| 2023 | Year | 02 | Month | 14 | Day |
| 2023 | Year | 02 | Month | 14 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000057322