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This one-page snapshot provides a high-level summary of the guidelines on the types of interventions that should be used to prevent VTE in hospitalized and non-hospitalized medical patients. A snapshot of the full VTE guidelines is also available for download.
DVT prophylaxis targets either venous stasis (mechanical methods) or hypercoagulability (pharmacological prophylaxis). Hospitalized patients are at increased risk of developing DVT (approximately 50%), increasing the risk of PE.
Venous thromboembolism (VTE) prophylaxis consists of pharmacologic and nonpharmacologic measures to diminish the risk of deep vein thrombosis (DVT) and pulmonary embolism (PE).
In acutely ill hospitalized medical patients, the ASH guideline panel recommends inpatient VTE prophylaxis with LMWH only, rather than inpatient and extended-duration outpatient VTE prophylaxis with DOACs (strong recommendation, moderate certainty in the evidence of effects ⊕⊕⊕ ).
Venous thromboembolism (VTE) is a major preventable disease that affects hospitalized inpatients. Risk stratification and prophylactic measures have good evidence supporting their use, but multiple reasons exist that prevent full adoption, compliance, and efficacy that may underlie the persistence of VTE over the past several decades.
The American Society of Hematology has updated recommendations for management of VTE, which includes deep venous thrombosis (DVT) and pulmonary embolism (PE).
Objective: These evidence-based guidelines from the American Society of Hematology (ASH) intend to support patients, clinicians, and others in decisions about treatment of VTE. Methods: ASH formed a multidisciplinary guideline panel balanced to minimize potential bias from conflicts of interest.
Venous thromboembolism (VTE) is a common source of perioperative morbidity and mortality. These evidence-based guidelines from the American Society of Hematology (ASH) intend to support decision making about preventing VTE in patients undergoing surgery.
In this review, we describe our approach to postoperative VTE prevention, discussing how to assess a patient’s risk for postoperative VTE and bleeding, and how to balance these risks to formulate an optimal VTE prophylaxis plan.
• For patients who are hospitalized, risk assessment for VTE and bleeding help inform a decision on effective prophylactic measures. • In medical inpatients at high bleeding risk who require prophylaxis, mechanical prophylaxis is preferred over blood-thinning medications.