Inferior Vena Cava Filters: Aligning Practice With Evidence to Improve Patient Outcomes |
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| Affiliation: | 1. Doctor of Nursing Practice Division, University of California, Los Angeles School of Nursing;2. Interventional Radiology Division, University of Southern California, Keck Medicine of USC, Los Angeles, California;1. Department of Nursing, Memorial Sloan Kettering Cancer Center, New York, NY;2. Vanderbilt University School of Nursing, Nashville, TN;3. Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY;4. Vanderbilt University School of Nursing, Nashville, TN;5. Vanderbilt University School of Nursing and School of Medicine (Biostatistics, VICC, Hearing and Speech), Nashville, TN;6. Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY;1. Virginia Commonwealth University (VCU) Health, Richmond, VA;2. Virginia Commonwealth University School of Medicine, Richmond, VA |
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| Abstract: | BackgroundDespite indications for the removal of temporary inferior vena cava (IVC) filters, many filters are unintentionally left in place, predisposing patients to adverse outcomes.ObjectiveThis quality improvement study set out to determine the impact of an IVC filter retrieval protocol on filter retrieval rates and patients lost to follow-up for patients who had undergone placement of a temporary IVC filter.MethodsFollowing a quasi-experimental design, data of all consecutive patients who underwent insertion of a temporary IVC filter for a period of 24-month preprotocol and 12-month postprotocol were compared.ResultsFilter retrieval rates of eligible filters increased from 64.2% to 100%; patients lost to follow-up decreased from 35.9% to 0% (p < .01, both outcomes).ConclusionAdoption of a comprehensive IVC filter protocol by the service that implants these devices can improve filter retrieval rates and decrease patients being lost to follow-up. |
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| Keywords: | Inferior vena cava filter Retrieval rates Radiology Patients lost to follow-up |
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