How do you decide whether to use pharmacologic VTE prophylaxis in hospitalized patients with decompensated cirrhosis?

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...

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 recommendati...

Use VTE prophylaxis unless contraindicated. INR is not reliable because of unknown protein C, protein S, and antithrombin activity. PLT >50k is safe to start DVT prophylaxis. Cases with PLT 20k-50k without active bleeding might need to be individualized.

The coagulability in a cirrhotic patient is v...