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Updated: Jan 31, 2026

Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
Person-centred prophylaxis for venous thromboembolism
1Department of Old Age Medicine, Gloucestershire Royal Hospital, Great Western Road, Gloucester, UK.
Abstract:
All medical admissions should receive risk assessment for the value of prophylaxis against venous thromboembolism. Unfortunately, for such patients the risk of thromboembolism is closely balanced with the risk of haemorrhage exaggerated by chemical prophylaxis. The recent NICE guideline continues to recommend comprehensive risk assessment, and to use prophylaxis where the risk of thromboembolism exceeds the risk of bleeding. The widely used Department of Health Risk Assessment Tool does not rank the risks of thromboembolism and bleeding, but NICE was unable to mandate another assessment tool fit for the purpose in the UK. Validated risk scores are used elsewhere, and could enable safer and better targeted prophylaxis, pending further research in the UK.
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