Table 2.

VTE risk scoring and prophylaxis prescription on admission by differences in VTE risk stratification between admitting providers and the SME

Discordant high (N = 1156)Discordant low (N = 240)Concordant high (N = 818)Concordant low (N = 1807)
Median Padua score (IQR)     
Expert 4 (4-5) 1 (1-2) 5 (4-7) 1 (1-2) 
Prescriber 1 (0-1) 3 (3-4) 4 (3-5) 1 (0-1) 
Prophylaxis prescribed, n (%)     
Heparin 5000 u q8h 325 (28.1) 70 (29.2) 208 (25.4) 383 (21.2) 
Heparin 5000 u q12h 33 (2.9) 11 (4.6) 32 (3.9) 32 (1.8) 
Enoxaparin 40 mg q24h 259 (22.4) 96 (40.0) 208 (25.4) 473 (26.2) 
Other prophylaxis 8 (0.7) 3 (1.3) 10 (1.2) 16 (0.9) 
Mechanical prophylaxis only 124 (10.7) 23 (9.6) 79 (9.7) 231 (12.8) 
Therapeutic AC 138 (11.9) 28 (11.7) 196 (24.0) 154 (8.5) 
No prophylaxis 269 (23.3) 9 (3.8) 85 (10.4) 518 (28.7) 
Pharmacologic prophylaxis contraindication, n (%) 231 (20.0) 63 (26.3) 365 (44.6) 326 (18.0) 
Prescribed pharmacologic prophylaxis, n (%) 625 (54.1) 180 (75.0) 458 (56.0) 904 (50.0) 
Prescription compliance, n (%) 777 (67.2) 33 (13.8) 667 (81.5) 664 (36.7) 
Discordant high (N = 1156)Discordant low (N = 240)Concordant high (N = 818)Concordant low (N = 1807)
Median Padua score (IQR)     
Expert 4 (4-5) 1 (1-2) 5 (4-7) 1 (1-2) 
Prescriber 1 (0-1) 3 (3-4) 4 (3-5) 1 (0-1) 
Prophylaxis prescribed, n (%)     
Heparin 5000 u q8h 325 (28.1) 70 (29.2) 208 (25.4) 383 (21.2) 
Heparin 5000 u q12h 33 (2.9) 11 (4.6) 32 (3.9) 32 (1.8) 
Enoxaparin 40 mg q24h 259 (22.4) 96 (40.0) 208 (25.4) 473 (26.2) 
Other prophylaxis 8 (0.7) 3 (1.3) 10 (1.2) 16 (0.9) 
Mechanical prophylaxis only 124 (10.7) 23 (9.6) 79 (9.7) 231 (12.8) 
Therapeutic AC 138 (11.9) 28 (11.7) 196 (24.0) 154 (8.5) 
No prophylaxis 269 (23.3) 9 (3.8) 85 (10.4) 518 (28.7) 
Pharmacologic prophylaxis contraindication, n (%) 231 (20.0) 63 (26.3) 365 (44.6) 326 (18.0) 
Prescribed pharmacologic prophylaxis, n (%) 625 (54.1) 180 (75.0) 458 (56.0) 904 (50.0) 
Prescription compliance, n (%) 777 (67.2) 33 (13.8) 667 (81.5) 664 (36.7) 

AC, anticoagulation; IQR, interquartile range; q12h, every 12 hours; q8h, every 8 hours; q24h, every 24 hours; u, units.

SME assessed high risk, and admitting provider assessed low risk.

SME assessed low risk, admitting provider assessed high risk.

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