18 Sep 2020, 20:43
Harry Ridwan Dibaca : 335Prevention of Venous Thrombo-Embolism in Non-surgical Hospitalized Patients
Leonardo Paskah Suciadi*, Lucia Kris Dinarti**
* Speciality Study Program of Cardiology & Vascular Medicine of Padjajaran University/dr.Hasan Sadikin General Hospital, Bandung
**Consultant of Cardiology & Vascular Medicine of Gajah Mada University/dr.Sardjito General Hospital, Yogyakarta
Abstract
Venous thromboembolism (VTE) is commonly found in hospitalized patients, considered as complication not only in surgical patients but also in medical patients. The vast majority of hospitalized patients with VTE or pulmonary embolism have not undergone recent surgery. Several large randomized, double-blind, placebo controlled trials including MEDENOX, PREVENT and ARTEMIS have confirmed the efficacy and safety of VTE thromboprophylaxis for acutely ill medical inpatients. The American College of Chest Physicians (ACCP) Guidelines 2008 recommend a risk assessment at the time hospital admission for every medical patients and VTE prophylaxis using either anticoagulant medications or mechanical prevention should be applied for them who have high risk condition. Other studies showed that many cases of VTE in medical patients occur after hospital discharge, but still no clinical trials and current recommendation evaluating VTE prophylaxis for medical outpatients have been published yet. In this article, we try to review the literatures on importance of risk assessment and VTE prophylaxis for hospitalized medical patients.
Key words: Venous thromboembolism, hospitalized patients, risk assessment, thromboprophylaxis.
Pengirim : Leonardo Paskah Suciadi