Venous thromboembolism risk factors and practices of prophylaxis: ENDORSE study results in Portugal

BACKGROUND: Venous thromboembolism (VTE) risk assessment is a cornerstone for the achievement of best practices and outcomes. Epidemiologic data and practices related to venous thromboprophylaxis as considered by the global ENDORSE study, (Epidemiologic International Day for the Evaluation of Patients at Risk for Venous Thromboembolism in the Acute Hospital Care Setting), enrolled 68,183 patients from 32 countries, in which Portugal. Within ENDORSE, data from all participant countries analyzed to determine their risk of VTE and to evaluate the suitability of prophylaxis. METHODS: European patients were enrolled from randomly selected hospitals in Portugal (European Hospital Register), according to ENDORSE study inclusion/exclusion criteria. The Seventh ACCP evidence-based consensus guidelines were employed to evaluate VTE risk and prophylaxis use. RESULTS: From a total of 3,145 beds assessed, 2,183 were considered eligible and 1,632 met all criteria. Of these, 860 (52.7%; 95% CI 50.3-55.1) were at risk of VTE: 525 surgical patients (68.9%; 95% CI 65.5-72.1) and 335 medical patients (38.5%; 95% CI 35.3-41.2). The rate of prophylaxis according to ACCP guidelines in overall patients at risk was 58.5% (503 patients). The prophylaxis rate for VTE was 59% (310 patients) in surgical patients and 57.6% (n = 193) in medical patients. 39.7% of surgical patients and 39.4 % of medical patients who did not meet the criteria for prophylaxis were also on prophylaxis with an anticoagulant, which was considered to be inappropriate. CONCLUSIONS: More than a half of these hospitalized patients in Portugal were deemed at risk of VTE and less than two-thirds of them received appropriate prophylaxis. New strategies are required for implementation of venous thromboprophylaxis in Portuguese hospitals

Drug Policies and Development

The 12th volume of International Development Policy explores the relationship between international drug policy and development goals, both current and within a historical perspective. Contributions address the drugs and development nexus from a range of critical viewpoints, highlighting gaps and contradictions, as well as exploring strategies and opportunities for enhanced linkages between drug control and development programming. Criminalisation and coercive law enforcement-based responses in international and national level drug control are shown to undermine peace, security and development objectives. Edited by Julia Buxton, Mary Chinery-Hesse and Khalid Tinasti. Paperback reference: Julia Buxton, Mary Chinery-Hesse and Khalid Tinasti (eds.) (2020) Drug Policies and Development, Conflict and Coexistence, International Development Policy series No.12 (Geneva, Boston: Graduate Institute Publications, Brill-Nijhoff). Order your copy on Brill-Nijhoff’s website. Videos and events. Les politiques anti-drogues et le développement. Entre conflit et coexistence. Ce douzième numéro thématique de la Revue internationale de politique de développement s'intéresse aux relations entre la politique internationale de lutte contre les drogues et les objectifs de développement aujourd'hui et dans une perspective historique. Cet ensemble de 15 articles rassemble diverses perspectives critiques qui mettent en avant les lacunes et les contradictions ainsi que les stratégies et les opportunités pour améliorer les relations entre le contrôle des drogues et les programmes de développement. Les auteurs analysent pourquoi la pénalisation et les réponses coercitives de lutte contre la drogue aux niveaux international et national sapent les objectifs de paix, de sécurité et de développement. Edité par Julia Buxton, Mary Chinery-Hesse et Khalid Tinasti. Référence papier (en anglais): Julia Buxton, Mary Chinery-Hesse and Khalid Tinasti (eds.) (2020) Drug Policies and Development, Conflict and Coexistence, International Development Policy series No.12 (Geneva, Boston: Graduate Institute Publications, Brill-Nijhoff). Commandez votre livre sur le site de Brill-Nijhoff. Vidéos et conférences en ligne. Políticas de drogas y desarrollo. Entre conflictos y coexistencia El número temático 12 de International Development Policy explora la relación entre las políticas internacionales en materia de drogas y los objetivos de desarrollo, tanto en la actualidad como según una perspectiva histórica. En sus artículos se analiza el nexo existente entre las drogas y el desarrollo desde una variedad de puntos de vista críticos, destacando las lagunas y contradicciones, así como indagando en las estrategias y posibilidades para reforzar los vínculos entre la fiscalización de drogas y los programas de desarrollo. Se muestra, asimismo, cómo la penalización y las medidas coercitivas nacionales e internacionales de fiscalización de drogas basadas en actividades de detección y represión debilitan la paz, la seguridad y los objetivos de desarrollo. Editado por Julia Buxton, Mary Chinery-Hesse y Khalid Tinasti. Referencia de la versión impresa (en inglés): Julia Buxton, Mary Chinery-Hesse and Khalid Tinasti (eds.) (2020) Drug Policies and Development, Conflict and Coexistence, International Development Policy series No.12 (Geneva, Boston: Graduate Institute Publications, Brill-Nijhoff). Pida su ejemplar en el sitio web de Brill-Nijhoff