Anticoagulation Awards entries open

The Anticoagulation Achievement Awards 2018 are now open and invite applications from individuals and teams who provide outstanding services across the field of anticoagulation care and management

Open to applications from secondary, community and primary care.

Focus will be on evidence that demonstrates proven innovation in practice within delivery of anticoagulation services that benefit patients and the NHS while also evidencing implementation of NICE guidance, Quality Standards and patient-centred care and outcomes

For 2018 there are eight award categories

  • Best comprehensive thrombosis management centre
  • Best resource sharing information about anticoagulation therapy for patients and carers
  • The centre best able to demonstrate adherence to NICE Quality Standards for Atrial Fibrillation
  • Best work in prevention of hospital acquired thrombosis (HAT)
  • Best work in the prevention and treatment of cancer acquired thrombosis (CAT)
  • Best work in the prevention and treatment of thrombosis during pregnancy and the postpartum
  • Best on-going management of thrombosis by a community based or primary care service
  • VTE Hero (invite nominations from HCPs and Patients)

Full guidance and application forms can be downloaded from www.anticoagulationawards.org

 

 

Impact of Mandatory VTE risk assessment on number of Hospital Acquired VTE Events

A recently published study looked at the effect of the mandatory VTE risk assessment that has been in place in England since 2010. This shows a significant reduction both in total HAT events but also when expressed as a percentage of total annual admissions. In addition the number of events associated with inadequate prevention has also significantly reduced over the same period. The most recent data however suggests there has been a plateauing of number of VTE events associated with hospital stay acknowledging not all VTE events can be prevented.

The link is available at http://openheart.bmj.com/content/4/2/e000653 

The geko™ device for VTE prophylaxis - serving an unmet need in high-risk acute stroke patients

Current UK practice for DVT prophylaxis in acute stroke patients is based upon data from the CLOTS 3 study and usually comprises of Intermittent Pneumatic Compression (IPC) or a prophylactic-dose of Low Molecular Weight Heparin (LMWH) when the bleed risk is reduced1. However, regardless of these interventions, a small group of patients remain contraindicated to these therapies leaving them exposed to developing a DVT or PE.

 

Firstkind Ltd, a UK based medical devices company, is working with an NHS Trust to introduce the innovative geko™ device into the acute stroke pathway, when patients are unsuitable for drug prophylaxis and/or contraindicated to IPC.

 

The geko™ is a battery powered, disposable, neuromuscular electrostimulation device designed to increase blood flow in the deep veins of the leg2. The geko™ gently stimulates the common peroneal nerve activating the calf and foot muscle pumps increasing venous, arterial and microcirculatory blood flow. The blood flow increase is equal to 60%3 of walking without a patient having to move or exert energy.  

 

Patient compliance and the geko™ anti-stasis capability is being assessed through a prospective audit of clinical practice, covering patients who have been admitted for either ischemic or haemorrhagic stroke4. Patients unsuitable for VTE drug prophylaxis or contraindicated to IPC are being given the geko™ device.  

Interim analysis highlights that the majority of high risk immobile acute stroke patients who could not tolerate IPC are able to tolerate the geko™. These patients would have not been treated as effectively otherwise, with the potential that geko™ will reduce the risk of morbidity and mortality in stroke patients. For more information on the geko™ device, click here: http://www.gekodevices.com/en-uk/

  1. NICE guidelines (CG92). Published date January 2010, update June 2015.
  2. Nicolaides, M Griffin, Measurement of blood flow in the deep veins of the lower limb using the geko™ neuromuscular electro-stimulation device. Journal of International Angiology August 2016-04.
  3. Tucker A, Maass A, Bain D, Chen LH, Azzam M, Dawson H, et al. Augmentation of venous, arterial and microvascular blood supply in the leg by isometric neuromuscular stimulation via the peroneal nerve. The International journal of angiology: official publication of the International College of Angiology, Inc. 2010 Spring; 19(1): e31-7.
  4. Stoke, prospective data on file, prospective April 2017, Firstkind.

CLOT Conference 2018

Following on from our recent conference we have booked the same venue, Crowne Plaza Central Manchester for next year on the 12th October 2018. We will look at feedback and any suggestions or comments and have more detail next year. The CLOT Committee

CLOT Conference 2017

The closing date for this years conference is this Friday the 15th September so don't delay and book today