Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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REVIEW ARTICLE
Year : 2010  |  Volume : 5  |  Issue : 4  |  Page : 195-200

Venous thromboembolism prophylaxis for hospitalized medical patients, current status and strategies to improve


Department of Internal Medicine, Division of Hematology and Medical Oncology, King Hussein Cancer Center, Amman, Jordan

Correspondence Address:
Hikmat Abdel-Razeq
Chairman, Department of Internal Medicine, Chief, Section of Hematology and Medical Oncology, King Hussein Cancer Center, Queen Rania Al Abdullah Street, PO Box 1269, Amman 11941
Jordan
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DOI: 10.4103/1817-1737.69104

PMID: 20981179

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Venous thromboembolism (VTE), comprising life-threatening pulmonary embolism (PE) and its precursor deep-vein thrombosis (DVT), is commonly encountered problem. Although most patients survive DVT, they often develop serious and costly long-term complications. Both unfractionated heparin and low molecular weight heparins significantly reduce the incidence of VTE and its associated complications. Despite the evidence demonstrating significant benefit of VTE prophylaxis in acutely ill medical patients, several registries have shown significant underutilization. This underutilization indicates the need for educational and audit programs in order to increase the number of medical patients receiving appropriate prophylaxis. Many health advocacy groups and policy makers are paying more attention to VTE prophylaxis; the National Quality Forum and the Joint Commission recently endorsed strict VTE risk assessment evaluation for each patient upon admission and regularly thereafter. In the article, all major studies addressing this issue in medical patients have been reviewed from the PubMed. The current status of VTE prophylaxis in hospitalized medical patients is addressed and some improvement strategies are discussed.


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