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Letter to the Editor| Volume 11, ISSUE 7, P531-532, September 2010

Prevention of Venous Thromboembolism in Long-Term Care: Time for Action?

      It was invigorating to read 2 articles in the March 2010 issue of the Journal pertinent to venous thromboembolism (VTE) in long-term care (LTC); one attempted to develop a risk stratification tool for VTE and immobility to assist clinicians in the care of residents in LTC,
      • Zarowitz B.J.
      • Tangalos E.
      • Lefkovitz A.
      • et al.
      Thrombotic risk and immobility in residents of long-term care facilities.
      the second, an editorial, stated that although available research does not support specific pharmacological agents for patients at risk for VTE, this does not mean that risk reduction of any nature should not be used.
      • Messinger-Rapport B.J.
      Risk of venous thromboembolism in long-term care residents: What do we know now?.
      The editorial comments are appropriate, and perhaps it is time that more attention is paid to the entity of VTE prevention in LTC.
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      References

        • Zarowitz B.J.
        • Tangalos E.
        • Lefkovitz A.
        • et al.
        Thrombotic risk and immobility in residents of long-term care facilities.
        J Am Med Dir Assoc. 2001; 11: 211-221
        • Messinger-Rapport B.J.
        Risk of venous thromboembolism in long-term care residents: What do we know now?.
        J Am Med Dir Assoc. 2010; 11: 159-160
        • Levenson S.A.
        The basis for improving long-term care. Part 4: Identifying meaningful improvement approaches (Segment 2).
        J Am Med Dir Assoc. 2010; 11: 161-170
        • Katz P.R.
        A call to action.
        J Am Med Dir Assoc. 2010; 11: 157-158
        • Pai M.
        • Douketis J.D.
        Preventing venous thromboembolism in long-term care residents: Cautious advice based on limited data.
        Clev Clin J Med. 2010; 77: 123-130
        • Gross J.S.
        • Neufeld R.R.
        • Libow L.S.
        • et al.
        Autopsy study of the elderly institutionalized patient. Review of 234 autopsies.
        Arch Intern Med. 1988; 148: 173-176
        • Geerts W.H.
        • Bergqvist D.
        • Pineo G.F.
        • et al.
        Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th edition).
        Chest. 2008; 133: 381S-453S
        • Dharmarajan T.S.
        • Lawhorne L.
        • Nanda A.
        • et al.
        Prevention of thromboembolism in long-term care: Multicenter project to study practice patterns and implement clinical practice guidelines.
        J Am Med Dir Assoc. 2010; 11: B19
        • Dharmarajan T.S.
        • Lawhorne L.
        • Nanda A.
        • et al.
        Indications and contraindications for anti-thrombotic therapy to prevent venous thromboembolism: Observations in long-term care facilities based on clinical practice guidelines.
        J Am Med Dir Assoc. 2010; 11: B13