Desafios da profilaxia estendida do tromboembolismo venoso em pacientes clínicos e cirúrgicos
Challenges of extended venous thromboembolism prophylaxis in medical and surgical patients
Maria Chiara Chindamo; Edison Ferreira Paiva; Plinio Resende do Carmo Jr; Ana Thereza Cavalcanti Rocha; Marcos Arêas Marques
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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