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January 1, 2007Open Access

Risk-assessment algorithm and recommendations for venous thromboembolism prophylaxis in medical patients.

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Key result

An evidence-based algorithm recommends heparin chemoprophylaxis for 6-14 days in hospitalized medical patients ≥40 years old with decreased mobility and ≥1 VTE risk factor.

Population

Hospitalized medical patients

Design

Systematic_review

Authors

ARAna Thereza RochaUniversidade Federal da BahiaEPEdison Ferreira de PaivaHospital das Clínicas da Faculdade de Medicina da Universidade de São PauloALArnaldo LichtensteinHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

Discussion

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Overview

Supports targeted VTE prophylaxis in medical inpatients; extends guidelines via a multidisciplinary evidence-based algorithm.

Study Design

Type

Systematic Review

Structured PICO

P
Population
Hospitalized medical patients
I
Intervention
Venous thromboembolism (VTE) risk assessment algorithm and chemoprophylaxis with heparin (unfractionated heparin or low-molecular-weight heparin)
O
Outcome
Identification of VTE risk factors and generation of prophylaxis recommendations

A multidisciplinary systematic review generated an evidence-based risk-assessment algorithm recommending heparin chemoprophylaxis for 6-14 days in hospitalized medical patients aged ≥40 with decreased mobility and at least one risk factor.

Cite This Study

Rocha et al. (2007) conducted a systematic review in Venous thromboembolism. Chemoprophylaxis with heparin was evaluated on VTE risk factors and prophylaxis recommendations. An evidence-based algorithm recommends heparin chemoprophylaxis for 6-14 days in hospitalized medical patients ≥40 years old with decreased mobility and ≥1 VTE risk factor.

synapsesocial.com/papers/6a75cd1c117c5bc884dd7edchttps://doi.org/10.2147/vhrm.s
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Also Consider

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  1. 1Prevalence of Deep Venous Thrombosis Among Patients in Medical Intensive Care1995 · 320 citations
  2. 2Antithrombotic therapy in acute ischaemic stroke: an overview of the completed randomised trials.1993 · 207 citations
  3. 3Venous thromboembolism in decompensated chronic obstructive pulmonary disease. A prospective study.1981 · 44 citations
  4. 4Increased risk of venous thrombosis in carriers of natural anticoagulant deficiencies. Results of the family studies of the Spanish Multicenter Study on Thrombophilia (EMET study)1998 · 42 citations
  5. 5An Epidemiologic Study of Risk Factors for Deep Vein Thrombosis in Medical Outpatients2000 · 699 citations