Venous Thromboembolism: Reducing the Risk of Venous Thromboembolism (Deep Vein Thrombosis and Pulmonary Embolism) in Patients Admitted to Hospital
- PMID: 23346611
- Bookshelf ID: NBK116518
Venous Thromboembolism: Reducing the Risk of Venous Thromboembolism (Deep Vein Thrombosis and Pulmonary Embolism) in Patients Admitted to Hospital
Excerpt
Venous thromboembolism (VTE) is a term used to include the formation of a blood clot (a thrombus) in a vein which may dislodge from its site of origin to travel in the blood, a phenomenon called embolism. A thrombus most commonly occurs in the deep veins of the legs; this is called deep vein thrombosis. A dislodged thrombus that travels to the lungs is known as a pulmonary embolism.
The risk of developing VTE depends on the condition and/or procedure for which the patient is admitted and on any predisposing risk factors (such as age, obesity and concomitant conditions). Both of these types of risk will be assessed within the guideline.
This guideline examines the risk of venous thromboembolism and assesses the evidence for the effectiveness of primary preventative measures. It provides recommendations on the most clinically and cost effective measures to reduce the risk of venous thromboembolism, whilst considering the potential risks of the various VTE prophylaxis options and patient preferences.
Copyright © 2010, National Clinical Guideline Centre - Acute and Chronic Conditions.
Sections
- Foreword
- Guideline development group membership and acknowledgements
- Abbreviations
- Glossary of terms
- 1. Introduction
- 2. Summary of recommendations
- 3. Methodology
- 4. Development of cost-effectiveness model
- 5. Risk, risk reduction and harm
- 6. Summary of the effectiveness of mechanical and pharmacological prophylaxis
- 7. Nursing care: early mobilisation, physiotherapy and hydration
- 8. Vena caval filters
- 9. Gastrointestinal, gynaecological, laparoscopic, thoracic and urological surgery
- 10. Elective hip replacement
- 11. Elective knee replacement
- 12. Hip fracture surgery
- 13. Other orthopaedic surgery
- 14. Cranial or Spinal Surgery (Neurological Surgery)
- 15. Cardiac surgery
- 16. Vascular surgery
- 17. Day-case surgery
- 18. Other surgery
- 19. Anaesthesia
- 20. Spinal injury
- 21. Lower limb plaster casts
- 22. Major trauma
- 23. General medical patients
- 24. Stroke patients
- 25. Acute coronary syndromes
- 26. Cancer
- 27. Patients with central venous catheters
- 28. Palliative care
- 29. Critical care
- 30. Pregnancy and up to 6 weeks post partum
- 31. Patients requiring antiplatelet agents and anticoagulants for other reasons
- 32. Provision of information to patients and planning for discharge
- Bibliography
- Appendix A Scope
- Appendix B Declarations of interests
- Appendix C Search Strategies
- Appendix D Evidence tables
- Appendix E Meta-Analyses Forest Plots
- Appendix F Recommendations for Research
- Appendix G Additional Results from Cost-effectiveness Analysis
- Appendix H Warfarin Bridging Algorithm (example)
- Appendix I Winbugs code for Network Meta-Analysis
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