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How do you decide whether to use pharmacologic VTE prophylaxis in hospitalized patients with decompensated cirrhosis?
How do factors like the presence of varices, severity of coagulopathy, etc., play into your decision?
Answer from: at Academic Institution
Standard anticoagulation prophylaxis is recommended for venous thromboembolism (VTE) prophylaxis in hospitalized patients with cirrhosis who otherwise meet standard criteria for VTE prophylaxis, according to the American Gastroenterological Association (AGA). The AGA makes a conditional re...
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Answer from: at Community Practice
For all patients, I begin by using a standard risk prediction tool to determine if the patient is appropriate for pharmacologic VTE prophylaxis. At our institution, the Padua risk prediction tool is embedded in our electronic health record/admission set. Clinical guidelines- including those from the...