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Related Experiment Video

Updated: Jan 31, 2026

Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
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Person-centred prophylaxis for venous thromboembolism.

Ian P Donald1

  • 1Department of Old Age Medicine, Gloucestershire Royal Hospital, Great Western Road, Gloucester, UK.

Age and Ageing
|January 8, 2019
PubMed
Summary

Medical admissions require risk assessment for venous thromboembolism prophylaxis. Balancing bleeding and clotting risks is crucial, as current UK tools may not adequately rank these dangers for optimal prophylaxis.

Keywords:
frailtyolder peopleprophylaxisvenous thromboembolism

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Area of Science:

  • Internal Medicine
  • Pharmacology
  • Clinical Risk Management

Background:

  • Medical admissions necessitate risk assessment for venous thromboembolism (VTE) prophylaxis.
  • The risk of VTE is often balanced against the risk of bleeding, which can be exacerbated by chemical prophylaxis.
  • Current guidelines recommend prophylaxis when VTE risk outweighs bleeding risk.

Purpose of the Study:

  • To evaluate the effectiveness of current risk assessment tools for VTE prophylaxis in medical admissions.
  • To highlight the limitations of existing UK-based risk assessment tools in balancing VTE and bleeding risks.
  • To advocate for the adoption of validated risk scoring systems for improved prophylaxis targeting.

Main Methods:

  • Review of current NICE guidelines on VTE prophylaxis.
  • Analysis of the Department of Health Risk Assessment Tool's limitations.
  • Comparison with validated risk scoring systems used internationally.

Main Results:

  • NICE guidelines emphasize comprehensive risk assessment for VTE prophylaxis.
  • The Department of Health Risk Assessment Tool does not adequately rank VTE versus bleeding risks.
  • Validated risk scores are utilized internationally for more precise prophylaxis decisions.

Conclusions:

  • There is a need for improved risk stratification tools in the UK for VTE prophylaxis.
  • Validated risk scores could facilitate safer and more targeted prophylaxis in medical admissions.
  • Further research is required to implement effective risk-scoring tools in the UK healthcare system.