The Saudi Clinical Practice Guideline for the treatment of venous thromboembolism: Outpatient versus inpatient management

Authors

• Fahad M. Al-Hameed, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Hasan M. Al-Dorzi, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Abdulkarim M. Al-Momen, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Farjah H. Algahtani, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Hazzaa A. Al-Zahrani, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Khalid A. Al-Saleh, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Mohammed A. Al-Sheef, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Tarek M. Owaidah, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Waleed Alhazzani, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Ignacio Neumann, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Wojtek Wiercioch, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Jan Brozek, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Holger Schünemann, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon
• Elie A. Akl, From the Intensive Care Department (Al-Hameed), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), College of Medicine, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, the Department of Hematology (Al-Momen, Algahtani, Al-Saleh), King Saud University, and the Department of Hematology (Al-Zahrani, Owaidah), King Faisal Specialist Hospital and Research Center, the Department of Medicine (Al-Sheef), King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia, and the Department of Clinical Epidemiology and Biostatistics (Alhazzani, Neumann, Wiercioch, Brozek, Schünemann, Akl), McMaster University, Hamilton, Canada, and the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon

Abstract

Venous thromboembolism (VTE) including deep vein thrombosis (DVT) and pulmonary embolism (PE) is commonly encountered in daily clinical practice. After diagnosis, its management frequently carries significant challenges to the clinical practitioner. Treatment of VTE with the inappropriate modality and/or in the inappropriate setting may lead to serious complications and have life-threatening consequences. As a result of an initiative of the Ministry of Health of the Kingdom of Saudi Arabia, an expert panel led by the Saudi Association for Venous Thrombo-Embolism (a subsidiary of the Saudi Thoracic Society) and the Saudi Scientific Hematology Society with the methodological support of the McMaster University Guideline working group, this clinical practice guideline was produced to assist health care providers in VTE management. Two questions were identified and were related to the inpatient versus outpatient treatment of acute DVT, and the early versus standard discharge from hospital for patients with acute PE. The corresponding recommendations were made following the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) approach.

Article Type

Other

First Page

1004

Last Page

1010

Recommended Citation

Al-Hameed, Fahad M.; Al-Dorzi, Hasan M.; Al-Momen, Abdulkarim M.; Algahtani, Farjah H.; Al-Zahrani, Hazzaa A.; Al-Saleh, Khalid A.; Al-Sheef, Mohammed A.; Owaidah, Tarek M.; Alhazzani, Waleed; Neumann, Ignacio; Wiercioch, Wojtek; Brozek, Jan; Schünemann, Holger; and Akl, Elie A. (2015) "The Saudi Clinical Practice Guideline for the treatment of venous thromboembolism: Outpatient versus inpatient management," Saudi Medical Journal: Vol. 36: Iss. 8, Article 19.
DOI: https://doi.org/10.15537/smj.2015.8.12024