Risk Factors For VTE

HEMATOLOGY-ONCOLOGY

Only anticoagulate hospitalized patients who are at risk for VTE  (moderate to high risk).

Many hospitalists recommend pharmacologic thromboprophylaxis for patients who have at least one risk factor for VTE and do not have an increased risk of bleeding.

Risk Factors for VTE in hospitalized patients

  • Cancer – Patients with active cancer.
  • Heart failure,
  • Acute respiratory failure (eg, acute exacerbations of chronic pulmonary disease),
  • Sepsis,
  • inflammatory bowel disease,
  • Known thrombophilia,
  • Prolonged immobility ≥3 days,
  • Trauma or surgery within one month
  • Age >60 years,
  • Previous VTE,
  • Critically ill patients,
  • Lower limb paralysis from stroke
  • Patients with elevated D-dimer

Padua score for predicting VTE risk in hospitalized patients.

References

http://circ.ahajournals.org/content/107/23_suppl_1/I-9

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