الفهرس 
AcknowledgmentOnly 14 pages are availabe for public view
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Abstract
Literature review cited that, Deep vein thrombosis (DVT) is a silent killer and it is the third most common vascular disease. Assessment of DVT risk is important in both hospitalized and primary care patients. Most of the literature and international guidelines on DVT considered prevention is more important and cost-effective than treatment. But there are limited numbers of the protocols for prevention of DVT in critically ill patients in Egypt. Thereby, this study aimed to evaluate the effect of implementing a designed protocol on prevention of deep vein thrombosis in critically ill patients. Subjects and method a quasi experimental research design was utilized. The study was conducted on a convenience sample of sixty adult patients who were admitted to intensive care unit (ICUs) in Emergency Hospital, Mansoura University. Data were obtained using three tools; DVT risk assessment tool including the patients profile, risk factors and biological factors, nursing performance observational checklist for DVT preventive measures and DVT evaluation sheet. The protocol was designed based on an extensive revision of the recent related literature. This designed protocol contained prevention intervention which included mechanical and pharmacological prophylaxes, and it was delivered in ICUs of Emergency hospital, Mansoura University for critically ill patients from admission until discharge. Results reveals that implementing the designed protocol prevents DVT in critically ill patients in the intervention group, while in the control group there was a third of patients had positive results of Doppler ultrasound in the right leg and more than another third of patients had positive results of Doppler ultrasound in the left leg. The differences between the two groups on discharge were high statistically significant. It observed that most of studied patients experienced low percent of DVT manifestation and had normal values of laboratory tests on discharge from ICU. There was a highly statistically significant difference between the control and intervention group in relation to anticoagulant administration. Also the mean LOS fro control and intervention group was (7.83±2.06, 4.73±0.44) respectively with a statistical significance difference. Conclusion: Providing a designed protocol prevent DVT and reducing length of stay in critically ill patients. The study recommended that designing a handout or posters and protocols about deep vein thrombosis prevention must be provided to health care team members and to be used as a reference guide in their performance.