Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients
Authors: Graham Mills
Journal: Annals of Internal Medicine (2012)

Letters20 March 2012Venous Thromboembolism Prophylaxis in Hospitalized Medical PatientsGraham Mills, MDGraham Mills, MDFrom Waikato Hospital, Hamilton 3200, New Zealand.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-156-6-201203200-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:There seems to be a disconnect between the evidence-based guidelines from the American College of Physicians (ACP) (1) and its background review by Lederle and colleagues (2). It is pleasing to see that the background review on venous thromboembolism (VTE) prophylaxis had also been published, but it seems to have been ignored (at least in part) by the clinical guideline committee. Specifically, recommendation 2 states that pharmacologic prophylaxis with heparin is recommended for VTE prophylaxis in medical patients unless the assessed risk for bleeding outweighs the likely benefits and is graded as a strong recommendation with moderate-quality ...References1. Qaseem A, Chou R, Humphrey LL, Starkey M, Shekelle P; Clinical Guidelines Committee of the American College of Physicians. Venous thromboembolism prophylaxis in hospitalized patients: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2011;155:625-32. [PMID: 22041951] LinkGoogle Scholar2. Lederle FA, Zylla D, MacDonald R, Wilt TJ. Venous thromboembolism prophylaxis in hospitalized medical patients and those with stroke: a background review for an American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2011;155:602-15. [PMID: 22041949] LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Graham Mills, MDAffiliations: From Waikato Hospital, Hamilton 3200, New Zealand.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoVenous Thromboembolism Prophylaxis in Hospitalized Patients: A Clinical Practice Guideline From the American College of Physicians Amir Qaseem , Roger Chou , Linda L. Humphrey , Melissa Starkey , and Paul Shekelle , for the Clinical Guidelines Committee of the American College of Physicians* Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients and Those With Stroke: A Background Review for an American College of Physicians Clinical Practice Guideline Frank A. Lederle , Dylan Zylla , Roderick MacDonald , and Timothy J. Wilt Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients Paul S. Agutter and P. Colm Malone Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients David K. Cundiff Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients Amir Qaseem , Roger Chou , Linda Humphrey , and Paul Shekelle Metrics 20 March 2012Volume 156, Issue 6Page: 473KeywordsConflicts of interestHemorrhageHeparinMortalityProphylaxisPulmonary embolismVenous thromboembolism ePublished: 20 March 2012 Issue Published: 20 March 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...