Key result
There is insufficient high-quality evidence to support ambulation alone as an effective prophylaxis for venous thromboembolism in hospitalized patients.
Why the study?
Patient ambulation is frequently recommended to help prevent venous thromboembolism during hospital admission, but evidence synthesizing its effectiveness was needed.
Does ambulation prevent venous thromboembolism in adult patients admitted to hospital?
Comparison
Ambulation or mobilization alone or concomitant with prophylaxis for prevention of venous thromboembolism
Design
Systematic review of RCTs and observational studies
Authors
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Ambulation alone should not replace pharmacologic VTE prophylaxis in hospitalized patients; leaves open the need for rigorous trials of nonpharmacologic strategies.
Systematic Review
Does ambulation prevent venous thromboembolism in adult patients admitted to hospital?
Ambulation alone should not be considered adequate prophylaxis for venous thromboembolism in hospitalized patients and should not replace pharmacologic prophylaxis.
Lau et al. (2020) conducted a systematic review in Venous thromboembolism. Ambulation or mobilization vs. Standard of care, bed rest, or pharmacological prophylaxis was evaluated on Incidence of venous thromboembolism. There is insufficient high-quality evidence to support ambulation alone as an effective prophylaxis for venous thromboembolism in hospitalized patients.
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