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SIGN

ISBN 978 1 905813 69 8 Scottish Intercollegiate Guidelines Network Elliott House8-10 Hillside CrescentEdinburgh EH7 5EA and management of venous thromboembolismQuick reference GuideDecember 2010 Scottish Intercollegiate Guidelines NetworkPart of NHS Quality Improvement ScotlandS I G N122 This quick reference guide provides a summary of the main recommendations in sign 122 Prevention and management of venous thromboembolism. Recommendations are graded A B C D to indicate the strength of the supporting evidence. Good practice points are provided where the guideline development group wishes to highlight specific aspects of accepted clinical of the evidence supporting these recommendations can be found in the full guideline, available on the sign website: 978 1 905813 69 8 First published December 2010 Scottish Intercollegiate Guidelines Network Elliott House, 8-10 Hillside Crescent, Edinburgh EH7 5EA Prevention and management of venous thromboembolism quick reference guide 1 RISK FACTORS FOR VENOUS THROMBOEMBOLISMAge: <40 years annual incidence of 1/10,000, 60-69 years annual incidence of 1/1,000, >80 years annual incidence of 1/100 Obesity: 2 to 3-fold risk if BMI >30 kg/m2 Varicose veins: to risk after major general/orthopaedic surgeryFamily history of VTET hrombophiliasOther thrombotic states: cancer, heart failure, recent myocardial infarction/stroke, metabolic syndrome, severe acute infection, chronic HIV infection, inflammatory b

Prevention and management of venous thromboembolism quick reference guide • 3 Cardiothoracic surgery D Patients undergoing thoracic surgery should be offered mechanical prophylaxis with IPC or AES.

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