Prevención de TVP en Pacientes Hospitalizados

Preventing deep vein thrombosis in hospital inpatients
BMJ 2007;335:147-151
William E Cayley, Jr.

Summary points
• Appropriate use of prophylaxis against deep vein thrombosis (DVT) in hospital inpatients is important for reducing the risk of fatal and non-fatal pulmonary embolism and post-thrombotic complications
• For patients at low risk of DVT, ambulation is important, and mechanical methods of prophylaxis (such as graduated compression stockings and intermittent pneumatic compression devices) can provide added protection
• Patients at higher risk of DVT should be considered for guideline based anticoagulation with low molecular weight heparin, unfractionated heparin, or vitamin K antagonists unless clearly contraindicated
• Fondaparinux may provide additional prophylactic options
• The place of aspirin in DVT prophylaxis remains controversial
• To ensure adequate prophylaxis against DVT, doctors should be encouraged to follow appropriate guidelines