Anticoagulation Guidelines



Anticoagulation Guidelines

Original: June 1996

Revised: March 2001

Guidelines for Prophylaxis

Deep Venous Thrombosis Peri-Operatively

Risk Assessment (Value Noted in Brackets):

□ Major orthopedic surgery of lower limbs:

□ total knee arthroplasty [ 5 ].

□ hip fracture [ 5 ].

□ total hip arthroplasty [ 4 ].

□ Extensive abdominal or pelvic surgery for malignancy [ 4 ].

□ Multiple trauma [ 4 ].

□ Acute spinal cord injury with paralysis [ 4 ].

□ History of DVT/PE [ 3 ].

□ Advanced age:

□ age over 70 years [ 3 ].

□ age 61 to 70 years [ 2 ].

□ age 41 to 60 years [ 1 ].

□ Stroke [ 1 ].

□ CHF [ 1 ].

□ MI [ 1 ].

□ Varicose Veins [ 1 ].

□ Obesity (greater than 20% of IBW) [ 1 ].

□ Congenital and acquired aberrations in hemostatic

mechanisms [ 1 ].

□ General surgery lasting more than 30 minutes [ 1 ].

□ History of pelvic or long bone fracture [ 1 ].

□ Leg edema, ulcers, stasis [ 1 ].

□ Pregnancy or postpartum ................
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