The Saudi clinical practice guideline for the prophylaxis of venous thromboembolism in long-distance travelers

Authors

• Fahad M. Al-Hameed, From the Intensive Care Department (Al-Hameed), Hematology Department (Abdelaal), 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), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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, King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, the Intensive Care Department (Al-Dorzi), Department of Medicine (Alaklabi), 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), including deep vein thrombosis (DVT) and pulmonary embolism (PE), is a preventable disease. Long distant travelers are prone to variable degree to develop VTE. However, the low risk of developing VTE among long-distance travelers and which travelers should receive VTE prophylaxis, and what prophylactic measures should be used led us to develop these guidelines. These clinical practice guidelines are the result of an initiative of the Ministry of Health of the Kingdom of Saudi Arabia involving an expert panel led by the Saudi Association for Venous Thrombo Embolism (a subsidiary of the Saudi Thoracic Society). The McMaster University Guideline working group provided the methodological support. The expert panel identified 5 common questions related to the thromboprophylaxis in long-distance travelers. The corresponding recommendations were made following the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach.

Article Type

Other

First Page

101

Last Page

107

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. (2017) "The Saudi clinical practice guideline for the prophylaxis of venous thromboembolism in long-distance travelers," Saudi Medical Journal: Vol. 38: Iss. 1, Article 18.
DOI: https://doi.org/10.15537/smj.2017.1.15738