Deep Vein Thrombolytics (DVT) Prophylaxis in Stroke Patients

Why is this important?

Patients experiencing a stroke that involves paralysis below the waist are at increased risk of developing deep vein thrombosis (DVT).  Prevention of DVT through the use of prophylactic strategies in at-risk patients is a recommendation in numerous clinical practice guidelines.  Patients need to walk and use elastic, compression stockings.  Pharmacologic approaches involve early anticoagulant drugs, including the administration of heparin if there are no contraindications.

How WellSpan Compares

The graph below shows the percentage of stroke patients who are at risk for DVT and received DVT prophylaxis by the second hospital day.

Unit of Measurement: Percentage

A higher score is better than a lower score.

What we are doing to improve our performance.

A full-time stroke coordinator was hired in July 2005 to assist in ensuring that the American Stroke Association/Brain Attack Coalition recommendations are incorporated into each patient’s treatment plan.  For example, if patients are not ordered DVT prophylaxis, the physician is notified and encouraged to use other prevention measures.