While many government agencies and advocacy organizations are striving to promote systematic utilization of VTE prophylaxis measures (pharmacological and/or mechanical, based on risk), recent publications appear to run counter to the prophylaxis “movement”. Such reports are being utilized by some providers and facilities to resist proposed system-level changes.
Three specific publications (original studies and subsequent commentaries) identified as being used in this manner are listed below. We invite your comments regarding these pieces (pro or con), as well as experiences you and your institution may have had as you attempt to implement measures to reduce VTE.
- Journal Watch Commentary: “The Bloody Problem with VTE Prophylaxis”
- New England Journal: ”Low Molecular Weight Heparin and Mortality in Acutely Ill Medical Patients”
- Annals of Internal Medicine: ACP Practice Guidelines