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Oral presentation

300 hospital case histories patients after surgical operations were chosen, randomized, in 2000 year and ... Practice antibiotic use in surgical department of state and private ...

mike_john
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    Slide 1:VTE On-line survey with 1,000 members of the general public in the UK

    Prepared for: Boehringer Ingelheim and Reynolds-MacKenzie October 2009 era eggington research associates ltd

    Slide 2:Research objectives

    To explore the publics awareness of VTE and knowledge of the risks The research included: Main concerns or fears about hospitalisation Awareness of VTE Knowledge of risks of developing VTE Whether VTE can be treated or prevented Whether VTE had been discussed, and drugs given, in the event of hospitalisation for orthopaedic surgery era

    Slide 3:Demographics Gender and Age group

    Base: All respondents (1,000)

    Slide 4:Main concerns or fears about hospitalisation (Spontaneous mentions) No reference to blood clots

    era Cleanliness 287 mentions MRSA - 207, infection 193, catching bugs 70, viruses/diseases Food (quality of) 167 Quality/competence of nursing staff and doctors/surgeons, staff shortages Wards (noise, sleep deprivation, mixed sex) Occasional mentions of cat not being fed, who will pay the bills, who will care for my children No one mentioned blood clots, deep vein thrombosis, or similar Q1. If you were to (or have had to) go into hospital to have a surgical operation where you stay in hospital as an in-patient for one night or more, what were (or would be) your main concerns or fears (other than concerns about the actual condition y9u went in for?)

    Slide 5: Main concerns regarding hospitalisation (Prompted selecting up to three from list) Blood clots did not feature strongly

    Q2. Please look at the list below and tick up to THREE of your main concerns or fears about the idea of having to go into hospital for a surgical operation where you stayed or would have to stay as an in-patient for one night or more. Base: All respondents (1,000) Only 8 selected blood clot first, 122 in total from list

    Slide 6:People experiencing (specified) problem

    era Hospital acquired infection, including MRSA YES = 45% (Base 808) Wound infection YES = 54% (Base 342) Surgical error/negligence YES = 37% (Base 297) Pain YES = 89% (Base 131) Developing a blood clot YES = 48% (Base 122) Whole numbers: Yes = 58, Male 30, Female 28 Percentage rising by age group Q3. Do you know of anyone, including yourself, who has experienced this problem? (Reply for each marked 1, 2, 3, in Q2)

    Slide 7:Awareness of VTE Less than half say they know what VTE is

    era Base: All respondents (1,000) Q5. Do you know what venous thromboembolism is? YES Males 37%, Females 53% % rising by age group

    Slide 8:Description of VTE (for respondents to read)

    Blood clots, deep vein thrombosis and pulmonary embolism are termed under the umbrella of venous thromboembolism. Pulmonary embolism is a serious and potentially life-threatening condition which occurs when part of a blood clot breaks off and travels to a blood vessel supplying the lungs causing a blockage. The clot usually originates from a DVT (deep vein thromboisis) in the legs but may also travel from a vein in the pelvis or abdomen.

    Slide 9:Most at risk of developing DVT (Prompted list) Flying/immobility featured more strongly than surgery

    Q6. When do you think you are most at risk from developing deep vein thrombosis? NB. Categories shown to respondents Base: All respondents (1,000) Description of VTE shown irrespective of whether they think they know it

    Slide 10:The one main cause of death associated with hospitalisation (Prompted list) Infection most strongly associated with death 230 of 1000 say dont know or none of these

    Q4. Please indicate from the following list, what you think is the ONE MAIN cause of death associated with hospitalisation (having a stay in hospital)? NB. Categories shown to respondents Base: All respondents (1,000)

    Slide 11:Problems associated with VTE (Prompted list) NB Awareness expected to be high, given the description had already been shown

    Q7. What problems, if any, are you aware of that are associated with venous thromboembolism? NB. Categories shown to respondents Base: All respondents (1,000)

    Slide 12:Awareness of whether VTE can be treated or prevented with medicine Around half say VTE can be treated or prevented

    era Q8. Treated Base: All respondents (1,000) Q9. Prevented Q8. Do you think venous thromboembolism can be TREATED with medicine? Q9. Do you think venous thromboembolism can be PREVENTED with medicine? Yes Had orthopaedic surgery (Base 87) 67% Yes Had orthopaedic surgery (Base 87) 62%

    Slide 13:Profile of those admitted for surgery (All types of surgery)

    Q10. Have you ever been admitted to hospital for a surgical operation that required an anaesthetic and one or more nights stay? Base: All respondents

    Slide 14:Profile of those who have had orthopaedic surgery Males more likely to have had this type of surgery

    Q11. What sort of surgery was this? (Response: Orthopaedic surgery) NB. Percentages represent all those who have had orthopaedic surgery Base: All who have had (any type of) surgery

    Slide 15:Discussion on VTE and whether drugs given

    76% (758 respondents) have at some time been admitted to hospital for a surgical operation which required an anaesthetic and one or more nights stay 89 had had orthopaedic surgery 44 hip or knee replacement, 50 following injury or accident (5 had had both) 46 (52%) had VTE discussed prior to surgery 43 (48%) discussed after surgery 32 had not had this conversation and 16 of them would have expected this to be discussed Only 24, 42% of the 57 who had had this conversation, and 27% of the 89 who had had orthopaedic surgery, were given drugs for the prevention or treatment of VTE

    Slide 16:Profile of those having had orthopaedic surgery where VTE risk discussed, been given drugs Only a small percentage had had drugs for VTE

    Base: All who have had orthopaedic surgery

    Slide 17:Conclusions

    Developing a blood clot did not feature in respondents main concerns or fears about hospitalisation: Infection, hygiene (MRSA), hospital food and staff competence featured strongly When shown a list, 122 (12%) selected blood clots amongst their concerns, but only 8 of the 1000 selected this first And even noise from patients on the ward and difficulty sleeping featured more strongly Less than half (46%) claimed to be aware of VTE More people felt that flying/sitting in a plane and immobility/sitting down for long periods carried more risk of DVT than surgery Over half (64%) felt that VTE could be treated with medicine and half (51%) felt it could be prevented with medicine Of the 89 who had had orthopaedic surgery, around half of them said VTE risk had been discussed with them but only 24 (27%) were given drugs for the treatment or prevention of VTE

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