RT Journal Article
SR Electronic
T1 Preventing venous thromboembolism in long-term care residents: Cautious advice based on limited data
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 123
OP 130
DO 10.3949/ccjm.77a.09096
VO 77
IS 2
A1 Menaka Pai
A1 James D. Douketis
YR 2010
UL http://www.ccjm.org/content/77/2/123.abstract
AB 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.