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Review

Preventing venous thromboembolism in long-term care residents: Cautious advice based on limited data

Menaka Pai, MD, FRCP(C) and James D. Douketis, MD, FRCP(C), FACP, FCCP
Cleveland Clinic Journal of Medicine February 2010, 77 (2) 123-130; DOI: https://doi.org/10.3949/ccjm.77a.09096
Menaka Pai
Department of Medicine, McMaster University and St Joseph’s Healthcare, Hamilton, ON, Canada
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James D. Douketis
Department of Medicine, McMaster University and St Joseph’s Healthcare, Hamilton, ON, Canada
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ABSTRACT

In hospitalized medical patients, randomized trials have established that anticoagulant prophylaxis has an acceptable benefit-to-risk ratio: ie, it lowers the incidence of clinically silent and symptomatic venous thromboembolism (VTE), including fatal pulmonary embolism, more than it raises the risks of bleeding and other complications. However, no similar trials have been done in long-term care residents. More research is needed to ascertain which long-term care residents would benefit most from VTE prophylaxis. In the absence of evidence-based guidelines, we advocate a selective approach.

  • © 2010 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 77 (2)
Cleveland Clinic Journal of Medicine
Vol. 77, Issue 2
1 Feb 2010
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Preventing venous thromboembolism in long-term care residents: Cautious advice based on limited data
Menaka Pai, James D. Douketis
Cleveland Clinic Journal of Medicine Feb 2010, 77 (2) 123-130; DOI: 10.3949/ccjm.77a.09096

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Preventing venous thromboembolism in long-term care residents: Cautious advice based on limited data
Menaka Pai, James D. Douketis
Cleveland Clinic Journal of Medicine Feb 2010, 77 (2) 123-130; DOI: 10.3949/ccjm.77a.09096
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