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Venous thromboembolism (VTE), including deep vein thrombosis and pulmonary embolism, commonly occurs in patients undergoing rehabilitative therapy for various conditions and is an important healthcare problem resulting in significant morbidity and mortality. Despite evidence-based guidelines for the prevention of VTE, thromboprophylaxis is underused in clinical practice. A recent study observed low rates of compliance with guidelines for thromboprophylaxis associated with the Sixth American College of Chest Physicians Conference on Antithrombotic Therapy. The need to promote the use of evidence-based guidelines for thromboprophylaxis extends to at-risk patients in rehabilitation clinics, as 1 retrospective study found that only 38% of patients admitted to a rehabilitation hospital received antithrombotic therapy. Barriers responsible for poor compliance with current thromboprophylaxis guidelines include lack of familiarity with recommendations, overestimation of bleeding risk, underestimation of thrombotic risk, and logistical limitations. This failure can be corrected by development of a heightened awareness of risk factors and understanding of the current evidence-based treatment and prevention guidelines associated with VTE management among all healthcare professionals on staff at rehabilitation clinics.
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Enrique Ginzburg,MD, FACS (Chair)
Professor of Surgery
Divisions of Trauma and Surgical Critical Care
Medical Director, International Health Center
Co-Director, Neuroscience Intensive Care
DeWitt Daughtry Family Department of Surgery
University of Miami Miller School of Medicine
Miami, FL |
Robert Krotenberg, MD
Medical Director
Riverview Professional Services
Attending Physician
Riverview Medical Center
Red Bank, NJ |
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Elena Napolitano,MD
Clinical Assistant Professor
University of Medicine and Dentistry,
New Jersey–University Hospital
Newark, NJ |
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After completing this activity, the participant should be better able to:
- Describe the pathophysiology of venous thromboembolism (VTE).
- Identify patients at risk for the development of VTE.
- List pharmacologic and nonpharmacologic treatment regimens,
including strategies for prophylaxis of VTE.
- Review appropriate guideline-based antithrombotic treatments for
patients recovering in rehabilitation clinics.
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Kessler Institute for Rehabilitation
Main Conference Center – West Orange, NJ |
August 1, 2008
8:30 AM - 9:30 AM |
Thomas Jefferson University Hospital
3rd Floor Conference Room – Philadelphia, PA |
September 24, 2008
7:00 AM - 8:00 AM |
Medical College of Virgina
Sanger Hall, Room 6-032 – Richmond, VA |
September 26, 2008
8:00 AM - 9:00 AM |
Methodist Rehabilitation Center
Conference Center (Hospital 2nd Floor) – Jackson, MS |
October 21, 2008
12:00 PM - 1:00 PM |
National Rehabilitation Center
NRH Auditorium (Ground Floor) – Washington, DC |
October 24, 2008
12:00 PM - 1:00 PM |
University of Missouri
Rusk Rehabilitation Center, PM&R Conference Room – Columbia, MO |
October 31, 2008
10:30 AM - 11:30 AM |
JFK Johnson Rehabilitation Institute
Rehabilitation Medicine Conference Room – Edison, NJ |
November 11, 2008
12:00 PM - 1:00 PM |
The Institute for Rehabilitation and Research
UT Medical School Building, Room B.605 – Houston, TX |
November 14, 2008
12:00 PM - 1:00 PM |
HealthSouth – Sunrise Rehabilitation Center
Conference Room 2 – Sunrise, FL |
December 11, 2008
12:00 PM - 1:00 PM |
The Rusk Institute of Rehabilitation Medicine
Room 111 – New York, NY |
December 17, 2008
1:00 PM - 2:00 PM |
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| 5 Minutes |
Introduction and Pre-Test |
| 20 Minutes |
Evaluating Treatment Strategies for DVT Prophylaxis in Rehabilitation Patients
Robert Krotenberg, MD or Elena Krotenberg, MD |
| 20 Minutes |
ACCP Guidelines and
Audience-Generated Case Studies
Enrique Ginzburg, MD, FACS |
| 10 Minutes |
Question and Answer Session |
| 5 Minutes |
Conclusion and Post-Test |
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Intended Audience
To meet the educational needs of physicians and healthcare
professionals on staff at Rehabilitation Centers in the United States.
Accreditation Statement
This activity has been planned and implemented
in accordance with the Essential Areas and Policies of the Accreditation
Council for Continuing Medical Education (ACCME) through the joint
sponsorship of Postgraduate Institute for Medicine (PIM) and Advanced
Studies in Medicine. PIM is accredited by the ACCME to provide continuing
medical education for physicians.
Credit Designation Statement
Postgraduate Institute for Medicine designates
this educational activity for a maximum of 1 AMA PRA Category 1
Credit(s)™. Physicians should only claim credit commensurate with the
extent of their participation in the activity.
Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine
(PIM) requires instructors, planners, managers, and other individuals
who are in a position to control the content of this activity to disclose any
real or apparent conflict of interest they may have as related to the content
of this activity. All identified conflicts of interest are thoroughly vetted
by PIM for fair balance, scientific objectivity of studies mentioned in
the materials or used as the basis for content, and appropriateness of
patient care recommendations.
Fee Information
There is no fee for this educational activity. A statement
of credit will be issued only upon receipt of a completed activity evaluation
form and will be mailed to you within 3 weeks (if applicable). |
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