Letters NICE on thromboembolism

Challenging the evidence for graduated compression stockings

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f3653 (Published 11 June 2013) Cite this as: BMJ 2013;346:f3653
  1. Laurence Whittaker, foundation year 1 doctor1,
  2. Trevor Baglin, divisional director of pathology and consultant haematologist2,
  3. Alain Vuylsteke, consultant in anaesthesia and intensive care3
  1. 1County Durham and Darlington NHS Foundation Trust, Darlington DL3 6HX, UK
  2. 2Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  3. 3Department of Anaesthesia and Intensive Care, Papworth Hospital NHS Foundation Trust, Cambridge, UK
  1. laurence.whittaker{at}cantab.net

Welfare highlights important points surrounding the recommended use of anticoagulants to prevent venous thromboembolism (VTE).1 We highlight problems surrounding National Institute for Health and Care Excellence (NICE) recommendations that all hospital inpatients, excluding those with stroke, are considered for mechanical prophylaxis. This is most commonly translated as graduated compression stockings.2 These recommendations were based on a Cochrane review3 and a trial in patients …

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