Key result
Standard enoxaparin VTE prophylaxis linked to inadequate coverage in overweight and obese trauma patients.
Why the study?
VTE prophylaxis with weight-based enoxaparin dosing may be more effective than standard dosing for overweight and obese patients, but weight-based dosing is not routinely practiced.
Is current VTE enoxaparin prophylaxis adequate for overweight and obese patients on an Orthopedic-Medical Trauma service?
Observational
Is current VTE enoxaparin prophylaxis adequate for overweight and obese patients on an Orthopedic-Medical Trauma service?
Current standard VTE enoxaparin prophylaxis may be inadequate for overweight and obese orthopedic-medical trauma patients, suggesting a need for weight-based dosing guidelines.
Answers are grounded in this paper and cite their sources.
May warrant caution with standard enoxaparin dosing in overweight orthopedic trauma patients; leaves open need for prospective weight-based trials.
OBJECTIVES: Venous thromboembolism (VTE) is a common nosocomial condition, developing frequently in overweight and obese patients. VTE prophylaxis with weight-based enoxaparin dosing may be more effective than the standard dosing regimen for overweight and obese patients; however, weight-based dosing is not practiced routinely. In this pilot study we sought to evaluate prophylactic anticoagulation regimens used for VTE prevention in overweight and obese patients on the Orthopedic-Medical Trauma (OMT) service to inform the need for modification of dosing practices. METHODS: test. RESULTS: 0.18). CONCLUSIONS: The current practice of VTE enoxaparin prophylaxis may not be adequate for overweight and obese OMT patients. Further guidelines are needed to implement weight-based VTE prophylaxis in overweight and obese hospitalized patients.
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Perrin et al. (2023) conducted an observational in Venous thromboembolism (VTE) prevention. VTE enoxaparin prophylaxis was evaluated. The current practice of VTE enoxaparin prophylaxis may not be adequate for overweight and obese orthopedic-medical trauma patients.
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