The Saudi clinical practice guideline for the prophylaxis of venous thromboembolism in medical and critically ill patients

Authors

• Fahad M. Al-Hameed, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Hasan M. Al-Dorzi, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Mohamed A. Abdelaal, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Ali Alaklabi, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Ebtisam Bakhsh, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Yousef A. Alomi, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Mohammad Al Baik, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Salah Aldahan, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Holger Schünemann, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Jan Brozek, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Wojtek Wiercioch, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Andrea J. Darzi, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Reem Waziry, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia
• Elie A. Akl, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), College of Medicine, the Department of Medicine (Alaklabi), King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), King Abdulaziz Medical City, National Guard Health Affairs, the Department of Clinical Sciences (Bakhsh), College of Medicine, Princess Nourah Bint Abdulrahman University, the General Administration of Pharmaceutical Care (Alomi), Ministry of Health, the Department of Family and Community Medicine (Al Baik, Aldahan), Prince Sultan Medical Military City, Riyadh, Kingdom of Saudi Arabia, the Department of Medicine (Schünemann, Brozek), the Department of Clinical Epidemiology and Biostatistics (Schünemann, Brozek, Akl), McMaster University, Hamilton, Canada, Faculty of Health Sciences (Schünemann, Brozek, Akl, Wiercioch), American University of Beirut, the Department of Internal Medicine (Akl), American University of Beirut, Beirut, Lebanon, and the Faculty of Medicine (Darzi, Waziry), The Kirby Institute University of New South Wales, New South Wales, Australia

Abstract

Venous thromboembolism (VTE) acquired during hospitalization is common, yet preventable by the proper implementation of thromboprophylaxis which remains to be underutilized worldwide. As a result of an initiative by the Saudi Ministry of Health to improve medical practices in the country, an expert panel led by the Saudi Association for Venous Thrombo Embolism (SAVTE; a subsidiary of the Saudi Thoracic Society) with the methodological guidance of the McMaster University Guideline working group, produced this clinical practice guideline to assist healthcare providers in VTE prevention. The expert part panel issued ten recommendations addressing 10 prioritized questions in the following areas: thromboprophylaxis in acutely ill medical patients (Recommendations 1-5), thromboprophylaxis in critically ill medical patients (Recommendations 6-9), and thromboprophylaxis in chronically ill patients (Recommendation 10). The corresponding recommendations were generated following the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach.

Article Type

Other

First Page

1279

Last Page

1293

Recommended Citation

Al-Hameed, Fahad M.; Al-Dorzi, Hasan M.; Abdelaal, Mohamed A.; Alaklabi, Ali; Bakhsh, Ebtisam; Alomi, Yousef A.; Baik, Mohammad Al; Aldahan, Salah; Schünemann, Holger; Brozek, Jan; Wiercioch, Wojtek; Darzi, Andrea J.; Waziry, Reem; and Akl, Elie A. (2016) "The Saudi clinical practice guideline for the prophylaxis of venous thromboembolism in medical and critically ill patients," Saudi Medical Journal: Vol. 37: Iss. 11, Article 20.
DOI: https://doi.org/10.15537/smj.2016.11.15268