Challenges of extended venous thromboembolism prophylaxis in medical and surgical patients

被引：0
作者：
Chindamo, Maria Chiara [1 ,2 ]
Paiva, Edison Ferreira [3 ]
do Carmo, Plinio Resende, Jr. [1 ,2 ]
Cavalcanti Rocha, Ana Thereza [4 ]
Marques, Marcos Areas [5 ,6 ]
机构：
[1] Univ Fed Rio De Janeiro UFRJ, Dept Clin Med, Rio De Janeiro, RJ, Brazil
[2] Rede DOr Sao Luiz, Hosp Barra DOr, Serv Clin, Rio De Janeiro, RJ, Brazil
[3] Univ Sao Paulo, Hosp Clin HC, Fac Med FM, Sao Paulo, SP, Brazil
[4] Univ Fed Bahia, Fac Med Bahia, Dept Saude Familia, Salvador, BA, Brazil
[5] Univ Estado Rio De Janeiro UERJ, Unidade Docente Assistencial Angiol, Hosp Univ Pedro Ernesto, Rio De Janeiro, RJ, Brazil
[6] Univ Fed Estado Rio De Janeiro UNIRIO, Servico Cirurgia Vasc, Hosp Univ Gaffree & Guinle, Rio De Janeiro, RJ, Brazil
来源：
JORNAL VASCULAR BRASILEIRO | 2022年 / 21卷
关键词：
venous thrombosis; disease prevention; pulmonary embolism; patient safety; clinical protocols; risk management; RISK-ASSESSMENT; PREVENTION; THROMBOPROPHYLAXIS; PLACEBO; EVENTS; TRIAL; ENOXAPARIN; SURGERY; SAFETY; GUIDE;
D O I：
10.1590/1677-5449.202101952
中图分类号：
R6 [外科学];
学科分类号：
1002 ; 100210 ;
摘要：
Patients hospitalized for acute medical and surgical illnesses are at risk of developing venous thromboembolism (VTE) during hospitalization and after discharge. Extended pharmacological prophylaxis beyond the hospital stay is recommended for patients undergoing surgeries at high risk for VTE and for selected groups of hospitalized medical patients. This practice involves several challenges, from identification of at-risk populations eligible for extended prophylaxis to choice of the most appropriate anticoagulant and definition of the ideal duration of use. This review will present the main VTE risk assessment models for hospitalized medical and surgical patients, the current recommendations for use of extended prophylaxis, and its limitations and benefits.
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页数：9
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