01-01-2021 | General Medicine
Venous thromboembolism (VTE) risk stratification in general medical patients at an academic medical center
Published in: Journal of Thrombosis and Thrombolysis | Issue 1/2021
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The most appropriate venous thromboembolism risk assessment model for general medicine patients is undetermined.
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Our providers generally assess patients as moderate or high VTE risk, despite our institution-based RAM which typically recommends a lower risk category than provider selection.
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Because of provider risk assessment, more patients received pharmacologic VTE prophylaxis than would have been recommended by the RAM, which might correlate to the low incidence of VTE which was < 0.5%, although bleeding complications were not assessed in this study.
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A prospective study utilizing the Padua Prediction Score (or similar RAM) in general medicine patients is warranted in order to decipher the best method of predicting VTE risk.