RISK EVALUATION OF THROMBO-EMBOLISM DURING STROKE IN ASIAN PATIENTS: NEED FOR PHARMACOLOGICAL THROMBOPROPHYLAXIS

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Published: Aug 27, 2023
DOI: https://doi.org/10.54079/jpmi.37.3.3232
Keywords:
Stroke, Thromboembolism, Prophylaxis, Asian

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Muhammad Shabbir
College of Medicine, Shaqra University, Saudi Arabia
Abdurrahman M Alshahrani
College of Medicine, Shaqra University, Saudi Arabia
Muath Al Ammar
College of Medicine, Shaqra University, Saudi Arabia
Khaled Saqr Almuthairi
College of Medicine, Shaqra University, Saudi Arabia
Mohammed Hwaifr
College of Medicine, Shaqra University, Saudi Arabia
Osama Almuqaiteeb
College of Medicine, Shaqra University, Saudi Arabia
Muhannad Mohammed Alashhab
College of Medicine, Shaqra University, Saudi Arabia
Ambreen Liaqat
College of Medicine, Shaqra University, Saudi Arabia

Abstract

Venous thrombo-embolism (VTE) is one of the serious complications in stroke patients. Early diagnosis and proper treatment are warranted to mitigate morbidity and mortality. Epidemiological evidence available so far favours much lower risk of VTE among Asians. Pharmacological management against VTE is highly effective but it is expensive and increases the chances of bleeding. Can the antithrombotic treatment be recommended as a prophylaxis against VTE among Asian population or we have cheaper, effective, and safer options available? Nonpharmacological treatment to prevent the incidence of VTE include graduated compression stockings, intermittent pneumatic compressions and early mobilization. Putting these options into action without pharmacological treatment may prove sufficient and effective without risking the patients to suffer from bleeding complications, particularly in cases where the severity of illness and chances of VTE are low. In such cases, non-pharmacological prophylaxis may prove more cost effective. This will improve the quality of care in regions where most of the healthcare expenses are managed through out-of-pocket spending.

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1.
Shabbir M, M Alshahrani A, Al Ammar M, Khaled Saqr Almuthairi, Mohammed Hwaifr, Osama Almuqaiteeb, Muhannad Mohammed Alashhab, Ambreen Liaqat. RISK EVALUATION OF THROMBO-EMBOLISM DURING STROKE IN ASIAN PATIENTS: NEED FOR PHARMACOLOGICAL THROMBOPROPHYLAXIS. J Postgrad Med Inst [Internet]. 2023 Aug. 27 [cited 2024 Apr. 27];37(3):161-5. Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/3232
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Vol. 37 No. 3 (2023): JPMI
Section
Review Article
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