{"id":168,"date":"2020-08-22T21:52:10","date_gmt":"2020-08-22T21:52:10","guid":{"rendered":"https:\/\/www.hospitalinnovate.org\/covid19\/?p=168"},"modified":"2020-09-21T23:23:22","modified_gmt":"2020-09-21T23:23:22","slug":"5which-covid-19-patients-should-receive-vte-prophylaxis","status":"publish","type":"post","link":"https:\/\/www.hospitalinnovate.org\/covid19\/2020\/08\/22\/5which-covid-19-patients-should-receive-vte-prophylaxis\/","title":{"rendered":"05. Which COVID-19+ patients should receive VTE prophylaxis?"},"content":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221; css=&#8221;.vc_custom_1599596486599{margin-top: 0px !important;border-bottom-width: 4px !important;padding-top: 0px !important;padding-right: 20px !important;padding-bottom: 0px !important;padding-left: 20px !important;background-color: #f2f2f2 !important;border-bottom-color: #2c5d73 !important;border-bottom-style: solid !important;}&#8221;][vc_column width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1599246960735{margin-top: 0px !important;padding-right: 20px !important;padding-left: 10px !important;}&#8221;][vc_custom_heading text=&#8221;Prevention and Treatment of Venous Thromboembolism Key Clinical Questions&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23f7941d&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1599246969777{margin-top: 0px !important;padding-top: 40px !important;}&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_column_text]<\/p>\n<p style=\"text-align: right;\"><a href=\"https:\/\/www.hospitalinnovate.org\/covid19\/\">Home<\/a> \/ <a href=\"https:\/\/www.hospitalinnovate.org\/covid19\/vte-overview\/\">VTE Overview<\/a> \/ <a href=\"https:\/\/www.hospitalinnovate.org\/covid19\/category\/vte\/\">VTE Clinical Questions<\/a><\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; gap=&#8221;20&#8243;][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1599594461761{padding: 20px !important;}&#8221;][vc_custom_heading source=&#8221;post_title&#8221; use_theme_fonts=&#8221;yes&#8221;][vc_column_text]<\/p>\n<h3><strong>a. HOMERuN institutions<\/strong><\/h3>\n<p>All institutions recommend VTE prophylaxis in inpatients with COVID-19 infection.[\/vc_column_text][vc_row_inner gap=&#8221;30&#8243; css=&#8221;.vc_custom_1599594566999{padding: 20px !important;}&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h3><strong>b. What is Known<\/strong><\/h3>\n<p>Numerous studies have reported generally higher rates of VTE in inpatients with COVID-19 infection (even with VTE prophylaxis) than is typically seen in comparable inpatients without COVID-19, triggering the universal recommendation among HOMERuN institutions that all such inpatients receive VTE prophylaxis.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h3><strong>c. What is Not Known<\/strong><\/h3>\n<p>It remains uncertain whether VTE prophylaxis reduces VTE rates in inpatients with COVID-19, though most such inpatients would have qualified for use of VTE prophylaxis in the randomized clinical trials that have investigated VTE prophylaxis in medical inpatients. It is also unclear whether standard prophylactic dosing is adequate or whether more aggressive prophylactic dosing or even therapeutic dosing is warranted for optimal prevention (<a href=\"https:\/\/www.hospitalinnovate.org\/covid19\/2020\/09\/04\/7who-should-receive-extended-vte-prophylaxis-post-discharge-and-what-is-the-optimal-strategy\/\">see question focusing on VTE prophylaxis strategies<\/a>).[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1600127026491{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 4px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;border-left-color: #2c5d73 !important;border-left-style: solid !important;border-right-color: #2c5d73 !important;border-right-style: solid !important;border-top-color: #2c5d73 !important;border-top-style: solid !important;border-bottom-color: #2c5d73 !important;border-bottom-style: solid !important;border-radius: 4px !important;}&#8221;][vc_raw_html]JTVCdWx0aW1hdGVfcG9zdF9saXN0JTIwaWQlM0QlMjIxMjQlMjIlNUQ=[\/vc_raw_html][vc_wp_custommenu nav_menu=&#8221;3&#8243; title=&#8221;VTE Links&#8221; el_class=&#8221;subNavButton&#8221;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Numerous studies have reported generally higher rates of VTE in inpatients with COVID-19 infection (even with VTE prophylaxis) than is typically seen in comparable inpatients without COVID-19&#8230;.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"_links":{"self":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/168"}],"collection":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/comments?post=168"}],"version-history":[{"count":11,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/168\/revisions"}],"predecessor-version":[{"id":630,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/posts\/168\/revisions\/630"}],"wp:attachment":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/media?parent=168"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/categories?post=168"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/tags?post=168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}