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Hematology Reports
Volume 11
Issue 2
10.4081/hr.2019.7914
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Article

Patient Compliance with Deep Vein Thrombosis Prophylaxis after Total Hip and Total Knee Arthroplasty

by
Daniel H. Wiznia
*,
Nishwant Swami
,
Jenny Nguyen
,
Eric Musonza
,
Chris Lynch
,
David Gibson
and
Richard Pelker
Department of Orthopedics and Rehabilitation, Yale University School of Medicine, 47 College Street, 1st Floor, New Haven, CT 06510, USA
*
Author to whom correspondence should be addressed.
Hematol. Rep. 2019, 11(2), 7914; https://doi.org/10.4081/hr.2019.7914
Submission received: 20 October 2018 / Revised: 20 May 2019 / Accepted: 7 June 2019 / Published: 17 June 2019

Abstract

Even though the Centers for Medicare and Medicaid Services is penalizing hospitals for readmissions, and postoperative prophylaxis has demonstrated reduced complications associated with deep vein thrombosis (DVT), few studies have examined patient compliance with (DVT) prophylaxis at home. A survey querying DVT prophylaxis management and adherence was administered to patients who were within the one to three-month postoperative period after a total knee or total hip replacement. A total of 103 patients completed the survey. A considerable number of patients (17.0%) were non-adherent to DVT prophylaxis. Patients had a lower understanding of the side effects of their DVT prophylaxis, with 30% responding that they had a poor to simple understanding. There is a high rate of non-compliance and there is a poor understanding of complications related to venous thromboembolism prophylaxis. As the population undergoing arthroplasties grows, this study demonstrates the importance of investigating the role of medication adherence in the rate of postoperative DVT.
Keywords: medication compliance; medication adherence; DVT prophylaxis; total knee replacement; total hip replacement medication compliance; medication adherence; DVT prophylaxis; total knee replacement; total hip replacement

Share and Cite

MDPI and ACS Style

Wiznia, D.H.; Swami, N.; Nguyen, J.; Musonza, E.; Lynch, C.; Gibson, D.; Pelker, R. Patient Compliance with Deep Vein Thrombosis Prophylaxis after Total Hip and Total Knee Arthroplasty. Hematol. Rep. 2019, 11, 7914. https://doi.org/10.4081/hr.2019.7914

AMA Style

Wiznia DH, Swami N, Nguyen J, Musonza E, Lynch C, Gibson D, Pelker R. Patient Compliance with Deep Vein Thrombosis Prophylaxis after Total Hip and Total Knee Arthroplasty. Hematology Reports. 2019; 11(2):7914. https://doi.org/10.4081/hr.2019.7914

Chicago/Turabian Style

Wiznia, Daniel H., Nishwant Swami, Jenny Nguyen, Eric Musonza, Chris Lynch, David Gibson, and Richard Pelker. 2019. "Patient Compliance with Deep Vein Thrombosis Prophylaxis after Total Hip and Total Knee Arthroplasty" Hematology Reports 11, no. 2: 7914. https://doi.org/10.4081/hr.2019.7914

APA Style

Wiznia, D. H., Swami, N., Nguyen, J., Musonza, E., Lynch, C., Gibson, D., & Pelker, R. (2019). Patient Compliance with Deep Vein Thrombosis Prophylaxis after Total Hip and Total Knee Arthroplasty. Hematology Reports, 11(2), 7914. https://doi.org/10.4081/hr.2019.7914

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