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NICE’s recommendations for thromboembolism are not evidence based

BMJ 2011; 343 doi: (Published 07 December 2011) Cite this as: BMJ 2011;343:d6452

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Re: NICE’s recommendations for thromboembolism are not evidence based

If I get a penny for every VTE form I do, I would retire before having to apply for a consultant job. I am currently struggling to understand the rationale behind having to consider VTE prophylaxis for day case stress echo patients in our department. These are patients who hardly stay for an hour. I am having to prepare a new drug chart purely to tick the VTE box off as many get exercise stress echos and are not prescribed any drug. The patients are anything but immobile and the drug charts obviously don't come free. Of course, I tick the box in question and put a comment saying that prophylaxis wasn't prescribed as the patient attended for a day case echo. I am often hunted down by the nurses if I forget. Going at this rate, we may be may be asked start doing these forms for outpatients, as they often wait for well over an hour. Are we going over the top?

Competing interests: No competing interests

11 December 2011
Arun Natarajan
ST6 Cardiology
Tertiary Cardiothoracic Centre