Lack of prophylaxis before the onset of acute venous thromboembolism among hospitalized cancer patients: the SWIss Venous ThromboEmbolism Registry (SWIVTER).

BACKGROUND: Venous thromboembolism (VTE) prophylaxis remains underutilized, particularly in cancer patients. We explored clinical predictors of prophylaxis in hospitalized cancer patients before the onset of acute VTE. METHODS: In the SWiss Venous ThromboEmbolism Registry, 257 cancer patients (61 +/- 15 years) with acute VTE and prior hospitalization for acute medical illness or surgery within 30 days (91% were at high risk with Geneva VTE risk score > or =3) were enrolled. RESULTS: Overall, 153 (60%) patients received prophylaxis (49% pharmacological and 21% mechanical) before the onset of acute VTE. Outpatient status at the time of VTE diagnosis [odds ratio (OR) 0.31, 95% confidence interval (CI) 0.18-0.53], ongoing chemotherapy (OR 0.51, 95% CI 0.31-0.85), and recent chemotherapy (OR 0.53, 95% CI 0.32-0.88) were univariately associated with the absence of VTE prophylaxis. In multivariate analysis, intensive care unit admission within 30 days (OR 7.02, 95% CI 2.38-20.64), prior deep vein thrombosis (OR 3.48, 95% CI 2.14-5.64), surgery within 30 days (OR 2.43, 95% CI 1.19-4.99), bed rest >3 days (OR 2.02, 95% CI 1.08-3.78), and outpatient status (OR 0.38, 95% CI 0.19-0.76) remained the only independent predictors of thromboprophylaxis. CONCLUSIONS: Although most hospitalized cancer patients were at high risk, 40% did not receive any prophylaxis before the onset of acute VTE. There is a need to improve thromboprophylaxis in cancer patients, particularly in the presence of recent or ongoing chemotherapy.

Kajaanissa kesäkuun 15 päivänä 1927

Kirje 15.6.1927

Pääjohtaja Jussi Niemi 15/1 1970

Kirje 15.1.1970

Iowa Lottery Action, Jan. 7 - 27, 2008, Vol. 15, no. 1

Iowa Lottery newsletter for retailers.

Motor Vehicle Accident Fatalities for the Week Ending, February 15, 2008

Record of the Fatalities for Motor Vehicle Accidents in Iowa per week.

Professori Lauri Posti 15/12 1973

Kirje 15.12.1973

EPI Update, February 15, 2008

Weekly newsletter for Center For Acute Disease Epidemiology of Iowa Department of Public Health.

Comunidade dos países de lingua oficial portuguesa (CPLP): comunidade “lusófona” ou ficticia?

O presente capítulo visa, con recurso ao universo teórico e ao referencial metodolóxico da ciencia política e das relacións internacionais, analizar a evolución histórica da CPLP, as rupturas, mudanzas e (des) continuidades verificadas na acción externa e diplomática da organización na súa relación coa organización política do mundo, o seu argumentario político de referencia, o discurso lexitimador(1) (Maltez, 1996: 153; Sarmento, 2008: 251; Costa, 2009: 9) e a retórica discursiva que preside a constitución dunha comunidade política ‘lusófona’ asentada en solidariedades horizontais (Moreira, 2001: 15). Percibida polas elites políticas como unha oportunidade histórica sen precedentes (Cabral, 1994: 2;) emerxe analiticamente como unha fonte explicativa da crecente complexidade do fenómeno político no espazo lusófono, e modelo institucional capaz de potenciar e descentralizar o diálogo intercontinental (Gama, 1996: 7) entre os países que teñen a lingua portuguesa como vehículo privilexiado de comuni- cación, e mecanismo formatador dun “modo portugués de estar no mundo”(3)(Moreira, 1956; Castelo, 1998: 13 e 101).

Helsinki 15.6.1925

Kirje

Opetusministeri Johannes Virolainen 15/5 1968

Kirje 15.5.1968