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</html>";s:4:"text";s:36341:"<a href="https://www.aahks.org/wp-content/uploads/2018/08/AAOS-Peer-Rev-Comments-AHRQ-Ortho-VTE-Syst-Rev.pdf"><span class="result__type">PDF</span> American Academy of Orthopaedic Surgeons Peer Review ...</a> 1 Since then, a substantial amount of new evidence relating to the treatment of VTE has been published, particularly in . <a href="https://www.sages.org/wp-content/uploads/2013/09/Editorial-Guideline-for-VTE-Prophylaxis-During-Lap-Surgery-final-2.pdf"><span class="result__type">PDF</span> SAGES VTE Prophylaxis for Laparoscopic Surgery Guidelines ...</a> Gould MK, Garcia DA, Wren SM, et al. 14 The risk may be longer in some individuals with extra risk factors. Chest. Original Date: 04/2003 Purpose: To define patient populations at increased risk for VTE. Based on CHEST Guidelines "Prevention of VTE in Nonsurgical Patients", Feb 2012. <a href="https://www.cag-acg.org/images/publications/2014_vte_ibd_gastroenterology.pdf"><span class="result__type">PDF</span> Gastroenterology 2014;146:835 CONSENSUS STATEMENT</a> Feb;(2 Suppl):eS-eS. The risk after knee replacement is around 2 weeks and for hip replacement 4 to 6 weeks. 2011 Nov 1. The 2018 American Society of Hematology Guidelines on VTE Prevention in Medically Ill Patients and the 2012 American College of Chest Physicians Guidelines on VTE Prevention in Non-surgical Patients recommend against extending VTE prophylaxis beyond hospital discharge based on a balance of potential risk and benefit even in highly select patients . Prevention of VTE in nonorthopedic surgical patients: antithrombotic therapy and prevention of thrombosis, 9 th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. . We describe several alternatives for stratifying the risk of VTE in general and abdominal-pelvic surgical patients. Arch Surg. Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. For patients undergoing knee arthroscopy without a history of prior VTE, suggest no thromboprophylaxis rather than prophylaxis (Grade 2B) Falck-Yetter et al., CHEST 2012 This was powerpoint was requested by an attending physician to be shared with the Psychiatric providers regarding DVT prophylaxis in patients who may have been on the unit. ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Guidelines. Antithrombotic therapy for VTE disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines Chest. Translating Evidence to Practice for Mechanical Venous Thromboembolism Prophylaxis. Risk Factors: NYHA class III/IV HF; Acute respiratory failure; Active cancer; Stroke with paresis; History of VTE; Acute infectious illness; Age >60 years; Thrombophilia; Acute rheumatic disease; Inflammatory bowel disease; Immobility; Divide . In the act of balancing venous thromboembolism prophylaxis after total joint arthroplasty, guidelines by the American Academy of Orthopaedic Surgeons and American College of Chest Physicians have . This guideline focuses on optimal prophylaxis to reduce postoperative . Venous thromboembolism prophylaxis in hospitalized patients: a clinical practice guideline from the American College of Physicians. PART 1: RISK ASSESSMENT AND GENERAL RECOMMENDATIONS. Bleeding after VTE Prophylaxis in General Surgery Meta-analysis: 52 RCTs of VTE prophylaxis in 33,813 pts Prophylaxis Control Injection site bruising 6.9% 2.8% Wound hematoma 5.7% 0.8% Drain site bleeding 2.0% 0.6% Hematuria 1.6% 0 GI bleeding 0.2% 1.9% Retroperitoneal bleeding < 0.1% 0 www.chestpubs.org CHEST / 141 / 2 / FEBRUARY, 2012 SUPPLEMENT e691S ANTITHROMBOTIC THERAPY AND PREVENTION OF THROMBOSIS, 9TH ED: ACCP GUIDELINES . Venous Thromboembolism (VTE) Prophylaxis Guideline Based Clinical Practice Guidelines. Ortho Prophylaxis Dose N/A in US 10mg daily . 2012 Oct;147(10):901-7. 6. Methods: We developed recommendations for thromboprophylaxis in nonorthopedic surgical doi: 10.1378/chest.11-2301. a. Our summary of ASA to prevent VTE in hospitalized medical patients (section 2.9) is based on indirect evidence from the PEP (Pulmonary Embolism Prevention) trial, a multicenter trial of ASA 160 mg daily vs placebo for 35 days in hip fracture surgery or elective hip or knee arthroplasty patients. Source: Based on information in Gould MK, Garcia DA, Wren SM, et al. for VTE, we suggest antepartum prophylaxis 4. laparoscopic surgery in 2007 (1), the American College of Chest Physicians (ACCP) has published their comprehensive guidelines that address VTE prophylaxis for non-orthopedic surgery patients (2). Low-molecular weight heparins, heparin, and fondaparinux are commonly used agents to prevent VTE, each of which has well established dosin … Background: Venous thromboembolism (VTE) is a leading cause of hospital-related deaths worldwide. Chest. The ENDORSE study in Egypt is part of a global initiative to uncover the incidence of high-risk surgical and medical patients and determine what proportion of these patients receive . Methods: We developed recommendations for thromboprophylaxis in nonorthopedic surgical patients by using systematic methods as described in Methodology for the Development of Antithrombotic Therapy and Prevention of Thrombosis Guidelines. 4. Prevention of VTE in nonsurgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines Chest . Rationale for inclusion: Implementation of a mandatory computerized decision tool improved compliance with VTE prophylaxis guidelines in trauma patients, resulting in lower rate of VTE events in patients who were not ordered appropriate prophylaxis. . Comment in Aesthet Surg J. n 2012, the American College of Chest Physicians (ACCP) developed guidelines for the prevention and treatment of venous thromboembolism (VTE)1,2 in adults, children,andpregnantwomen.3-7 Inthe2008iterationofthe ACCP guidelines,8 inflammatory bowel disease (IBD) was specifically mentioned as a risk factor for VTE, but this was Background: VTE is a common cause of preventable death in surgical patients. Just-in-time prophylaxis. 2012 Feb The American College of Chest People with cancer have the highest rates of deep venous thrombosis (DVT (PE), and for long-term prophylaxis of recurrent DVT Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report. Lyman GH, Khorana AA, Falanga A, et al. American College of Chest Physicians evidence-based clinical practice guidelines, Chest 2012 1412suppl e152S-e184S 2. 5. Pharmacologic prophylaxis of deep vein thrombosis and venous thromboembolism (VTE) is an important aspect of medical care, particularly in the inpatient setting. After careful review, the SAGES guidelines committee has approved the endorsement of the ACCP guidelines rather than update our previous VTE guidelines. Preventing Hospital-Acquired Venous Thromboembolism. 2012 Feb;141(2 Suppl):e195S-e226S. They include recommendations as outlined by the ACCP 2012 Guidelines for prevention of venous thromboembolism. Low-dose aspirin for preventing recurrent venous thromboembolism. Ansell J, Hirsh J, Hylek E, Jacobson A, Crowther M, Palareti G. Pharmacology and management of the vitamin k antagonists. Target Population: The recommendations within this guideline would apply to any adult inpatient with the intent to remain hospitalized for greater than 24 hours or who are discharged on extended VTE prophylaxis. Kearon C, Akl EA, Ornelas J, et al. 58. ceived VTE prophylaxis at admission if they had evidence of receipt of any of the above-mentioned agents or modalities on either day 1 or day 2 in the hospital.10 Patients who began VTE prophylaxis later WHAT IS KNOWN • Although venous thromboembolism (VTE) risk is substantially higher in patients undergoing major The duration of risk of VTE must also be considered. CHEST Supplement www.chestpubs.org CHEST / 141 / 2 / FEBRUARY, 2012 SUPPLEMENT e227S ANTITHROMBOTIC THERAPY AND PREVENTION OF THROMBOSIS, 9TH ED: ACCP GUIDELINES Background: VTE is a common cause of preventable death in surgical patients. 2012 Feb;141(2 Suppl):e419S-e496S. DVT, detected . We thank De Stefano, Grandone and Martinelli 1 for their comments on our chapter in the 2012 edition of the American College of Chest Physicians Evidence-Based Clinical Practice Guidelines on Antithrombotic Therapy and Prevention of Thrombosis 2.Modification of our guidelines for antepartum prophylaxis in women with prior venous thromboembolism and in those with asymptomatic thrombophilia was . UW Medicine Recommended Practices based on Antithrombotic Therapy and Prevention of Thrombosis, 9th Edition, American College of Chest Physicians Evidence Based Clinical Practice Guidelines; Chest 2012 (suppl 2). The 2012 Chest Physician Guidelines for prevention of VTE in nonsurgical patients recommends pharmacologic thromboprophylaxis for acutely ill hospitalized patients who are at increased risk of thrombosis. Venous Thromboembolism, Thrombophilia, Antithrombotic Therapy, and Pregnancy February Recommendations focusing on the . American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized and nonhospitalized medical patients. GUIDELINES FOR PREVENTION OF VENOUS THROMBOEMBOLISM (VTE) IN HOSPITALIZED PATIENTS . of VTE during hospitalization and to provide recommended therapy options for extended VTE prophylaxis after hospital discharge. American Society of Clinical Oncology Guideline: recommendations for venous thromboembolism prophylaxis and treatment in patients with cancer. Recommendations for VTE Prophylaxis: 1. 9th Edition Antithrombotic Therapy and Prevention of Thrombosis Guidelines: Summary Prevention of VTE; CHEST 2012 MEDICAL PATIENTS RISK GROUP RECOMMEND PROPHYLAXIS Low VTE Risk Padua Score < 4 Recommend against the use of pharmacologic or mechanical prophylaxis (Grade 1B) Low VTE Risk with High Bleed Risk Recommend against anticoagulant thromboprophylaxis (Grade 1B) Guidelines produced by the American College of Chest Physicians (ACCP) are considered to be the 'gold standard' in VTE prevention, diagnosis and management, and have been updated. 3 This review-based guideline, which included asymptomatic DVT as an appropriate outcome, recommended the routine use of heparin or related drugs for prophylaxis of VTE in medical patients confined to bed who have at . Analysis: The most comprehensive and broadly accepted guidelines for VTE prevention before these updates were put forth by ACCP and published in the June 2008 issue of Chest. Venous Thromboembolism, Thrombophilia, Antithrombotic Therapy, and Pregnancy February Recommendations focusing on the management of venous thromboembolism and thrombophilia. Validation of risk stratification schemes for predicting stroke and thromboembolism in patients with atrial fibrillation: Nationwide cohort study BMJ. In 2008, ACCP guidelines clearly recommended against the use of aspirin alone as VTE prophylaxis for any patient group, and therefore for any orthopaedic patient. Medical inpatients, long-term care residents, persons with minor injuries, and long-distance travelers are at increased risk of VTE, which can be fatal. Methods: The methods of this guideline follow those . [2] However, the proportion of patients at risk of VTE who receive appropriate prophylaxis in Egypt is unknown. of VTE during hospitalization and to provide recommended therapy options for extended VTE prophylaxis after hospital discharge. Introduction. Brighton TA, Eikelboom JW, Mann K, et al. CHEST published the last (9th) edition of these guidelines in February 2012 (AT9). Prophylaxis should be continued until the risk has diminished ( Figure 2 ). Target Population: The recommendations within this guideline would apply to any adult inpatient with the intent to remain hospitalized for greater than 24 hours or who are discharged on extended VTE prophylaxis. Approximately 775,000 hip and knee arthroplasties are performed yearly in the United States, with a dramatic increase expected. CHEST guidelines for prevention of VTE include both GCS and IPC as methods of mechanical prophylaxis.11 Low-risk patients who are ambulatory and/or hospitalized <48 hours should not be prescribed mechanical prophylaxis as this impedes ambulation and can increase risk of falls. These guidelines address methods to . Venous Thromboembolism (VTE) Chemoprophylaxis . Olesen JB, Lip GYH, Hansen ML, et al. doi: 10.1378/chest.11-2296. Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), affects 1 million patients in the United States each year [1,2,3].Hospitalization is a major risk factor for VTE, with 150-fold increase in risk compared to non-hospitalized individuals [2,4].Anticoagulants are commonly used for VTE prevention in hospitalized patients, and . CHEST has been developing and publishing guidelines for the treatment of DVT and PE, collectively referred to as VTE, for more than 30 years. Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines VTE is a serious, but decreasing complication following major orthopedic surgery. Antithrombotic Therapy for VTE Disease: CHEST Guideline (February 2016) Duration: 33 min Moderator: Ian T. Nathanson, MD, FCCP, Section Editor, CHEST AORN Journal, November 2012, 96(5) p 513-27. Prevention of Venous Thromboembolism in Orthopedic Surgery Patients Recommendations for the optimal strategies for thromboprophylaxis after major orthopedic surgery. This guideline focuses on optimal prophylaxis to reduce postoperative pulmonary embolism and DVT. Prevention of VTE in nonsurgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Methods: An observational prospective design was utilized in this study. Prevention of VTE in nonorthopedic surgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. But, since the 2012 CHEST Guidelines for VTE Prophylaxis in Non-surgical Patients references the Padua Prediction Score and it's a little more user-friendly, that's generally the one reached for first for medical non-ICU patients. All trauma patients, unless otherwise specified, should receive VTE prophylaxis with at least enoxaparin (Lovenox) 30 mg SQ Q 12 hr within 24 hrs of admission (see Obesity and Weight-Based Dosing). For example, if prophylaxis reduces the risk of venous thromboembolism (VTE) by 50%, and the baseline risk of symptomatic VTE in the absence of prophylaxis in a given population is 20 per 1,000 (2%), then the absolute number of VTE events prevented is 10 per 1,000 patients treated. Last published: 2012. . Purpose: This study aimed to investigate adherence to the American College of Chest Physicians (ACCP) 2012 VTE prophylaxis guidelines in hospitalized medical patients in a tertiary care hospital in the United Arab Emirates. Chest 2012;141(2)(Suppl):e227S-e277S. 2011. VTE-5 Venous thromboembolism discharge instructions VTE-6 Incidence of potentially preventable venous thromboembolism a Reprinted from the Specifications Manual for National Hospital Inpatient Quality Measures, version 4.1, March 2012, a collaborative work of 2012;367(21):1979-1987. CHEST Guidelines and Caprini Scores. 2016;149(2):315-352. VTE Prophylaxis. VTE guideline recommendations provide a framework for clinical practice and guide VTE prophylaxis policies. Kahn SR, Lim W, Dunn AS, et al. This alignment between AAOS and ACCP resulted in aspirin being included as an acceptable prophylactic option under the Surgical Care Improvement Project (SCIP) Venous Thromboembolism (VTE) quality measure beginning January 1 . CHEST Supplement Prevention of VTE in Orthopedic Surgery Patients ANTITHROMBOTIC THERAPY AND PREVENTION OF THROMBOSIS, 9TH ED: ACCP GUIDELINES Background: VTE is a serious, but decreasing complication following major orthopedic surgery. Important publications regarding the risk of VTE in pregnancy and the postpartum period include the 2012 Chest Guidelines from the American College of Chest Physicians (ACCP)7, the 2018 American College of Obstetricians and Gynecologists (ACOG) Practice Bulletin on "Thromboembolism in [1] Hospital admission for an acute medical illness can increase a person's risk of VTE by eight fold. American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized and nonhospitalized medical patients Schünemann HJ, Cushman M, Burnett AE, et al. CHEST Supplement CHEST / 141 / 2 / FEBRUARY, 2012 SUPPLEMENT e 195S ANTITHROMBOTIC THERAPY AND PREVENTION OF THROMBOSIS, 9TH ED: ACCP GUIDELINES Background: This guideline addressed VTE prevention in hospitalized medical patients, outpa-tients with cancer, the chronically immobilized, long-distance travelers, and those with asymp-tomatic thrombophilia. Chest. 1 The SCIP guidelines are essentially based on the 2004 ACCP guidelines. Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report. The American College of Chest Physicians (ACCP) and the American Academy of Orthopedic Surgeons (AAOS) have updated guidelines, which outline new prophylactic strategies. Just know that it is not a perfect answer by any means, and it's entirely possible for institutions to adopt . The ACCP VTE guidelines first appeared in 1986, and the most recent (8th) edition was published in June 2008. For patients at high risk for VTE undergoing abdominal or pelvic prkphylaxis for cancer, we recommend extended-duration, postoperative, pharmacologic prophylaxis 4 weeks with LMWH over limited-duration prophylaxis Grade 1B. Last Review Date: 01/2019 . A number of differences exist between the new 2008 ACCP . A Guide for Effective Quality Improvement, 2008. CHEST develops slide sets to incorporate into educational presentations, for the purposes of disseminating and explaining guideline recommendations. Clinical Practice Guideline . In 2012, the American College of Chest Physicians issued guidelines for VTE in non-orthopedic surgical patients, concluding that "optimal thromboprophylaxis in non-orthopedic surgical patients will consider the risks of VTE and bleeding complications as well as the values and preferences of individual . J CHEST, 141(2), February 2012 Supplement, p195S-226S. CHEST hosts a discussion with the authors upon release of a guideline, to add context and commentary to the issues and challenges facing clinicians. VTE Guidelines: Prophylaxis for Medical Patients. venous thromboembolism: the Padua Prediction Score. Traumatic Brain Injury, Mild 2012; Triage of the Trauma Patient 2010; Tube Thoracostomy, Presumptive Antibiotics in 2012; Venous Thromboembolism Prophylaxis, Pediatric Trauma Patients - Joint between EAST and PTS 2017; Venous Thromboembolism, Adult Trauma Patients 2002; Venous Thromboembolism: Low Dose Heparin for DVT/PE Prophylaxis 2002 American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis for hospitalized and nonhospitalized medical patients. 2012;141(2 Suppl):e227S-77S. Larkin BG, Mitchell KM. CHEST Supplement www.chestpubs.org CHEST / 141 / 2 / FEBRUARY, 2012 SUPPLEMENT e195S ANTITHROMBOTIC THERAPY AND PREVENTION OF THROMBOSIS, 9TH ED: ACCP GUIDELINES Background: This guideline addressed VTE prevention in hospitalized medical patients, outpa-tients with cancer, the chronically immobilized, long-distance travelers, and those with asymp- Risk-Appropriate VTE Prophylaxis Orders Continued VTE PROPHYLAXIS OPTIONS (SELECT ONE): Oral (if patient meets extended prophylaxis) If CrCl>30 mL/min: Betrixaban 160 mg PO on day one, then 80 mg daily for 35-42 days Rivaroxaban 10 mg PO once daily for 31-39 days total For CrCl 15 - 29 mL/min: Venous Thromboembolism Risk Assessment and Prophylaxis The National Quality Forum as part of the National Patient Safety Goal 03.05.01, mandates that all adult patients 18 years of age and older (exceptions include patients with behavior disorders, obstetrical RESULTS. Ann Intern Med . The American College of Chest Physicians (CHEST) recently released new clinical guidelines for venous thromboembolism (VTE) management, "Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel" that provides 29 recommendations on 17 Patients, Interventions, Comparators, Outcomes (PICO) questions, four of which have not been addressed previously. D. CT angio Chest - filling defect(s) V. VTE Prophylaxis Protocol for Trauma Patients A. Methods: The methods of this guideline follow those described in Methodology for the Development of Antithrombotic Therapy and Prevention of Thrombosis Guidelines: Antithrombotic Therapy and Prevention of . Chest 2012;141(2 Suppl):e227S-77S. In 2012, the American College of Chest Physicians (ACCP) issued recommendations for VTE prevention in orthopedic surgery patients, based on the ninth edition of its evidence-based clinical . ACCP GUIDELINES DVT PROPHYLAXIS 2012 PDF - Chest. Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of . prophylaxis after THA, TKA, and HFS, brought the ACCP CPG into alignment with the AAOS clinical practice guideline [2]. When the risk for VTE is very low (< 0.5%), we recommend that no specific pharmacologic (Grade 1B) or mechanical (Grade 2C) prophylaxis be used other than early ambulation. Hospitalization for acute medical illness is an important opportunity for applying prevention efforts. Lijfering WM, Rosendaal FR, Cannegieter SC. 19 However, the 2012 ACCP guidelines do recommend the use of aspirin as VTE prophylaxis for patients undergoing THR, TKR or hip fracture surgery because it appeared that the use of . Background: VTE is a serious, but decreasing complication following major orthopedic surgery. Authors Clive Kearon 1 . Chest 2012;141(2 Suppl):e195S-226S. Purpose: This study aimed to investigate adherence to the American College of Chest Physicians (ACCP) 2012 VTE prophylaxis guidelines in hospitalized medical patients in a tertiary care . Despite the availability of guidelines for VTE prophylaxis, it is crucial to assess the adherence and adaptation of the institution to these guidelines. Published by: . Bleeding after VTE Prophylaxis in General Surgery Meta-analysis: 52 RCTs of VTE prophylaxis in 33,813 pts Prophylaxis Control Injection site bruising 6.9% 2.8% Wound hematoma 5.7% 0.8% Drain site bleeding 2.0% 0.6% Hematuria 1.6% 0 GI bleeding 0.2% 1.9% Retroperitoneal bleeding < 0.1% 0 N Engl J Med. 2008;133:381S-453S. CHEST published the last (9th) edition of these guidelines in February 2012 (AT9). CHEST has been developing and publishing guidelines for the treatment of DVT and PE, collectively referred to as VTE, for more than 30 years. e278S CHEST Supplement Prevention of VTE in Orthopedic Surgery Patients ANTITHROMBOTIC THERAPY AND PREVENTION OF THROMBOSIS, 9TH ED: ACCP GUIDELINES Background: VTE is a serious, but decreasing complication following major orthopedic surgery. Supersedes: 10/2017 and administer appropriate prophylaxis. Recently, the American College of Physicians published guidelines (ACP‐1) and a supporting review addressing VTE prophylaxis in nonsurgical inpatients, followed by publication of the American College of Chest Physicians (ACCP) 9th Edition of the Chest Guidelines on Antithrombotic Therapy and Prevention of Thrombosis (AT9), which divides VTE . In the absence of pharmacologic prophylaxis, patients who undergo spine surgery or those with spine trauma, fracture, or cord injury have a high incidence of VTE, 2 and delays longer than 72 hours lead to a substantial increase in the VTE rate. 3.0 Suggest no prophylaxis rather than pharmacologic thromboprophylaxis in patient with isolated lower-leg injuries requiring immobilization (Grade 2C) 4.0. Patients having hip and knee arthroplasties are at high risk of developing a venous thromboembolism. American College of Chest Physician guidelines are intended for general information only, are not medical advice, and . [Medline] . Reference: Gould MK, et al. Maynard G, Stein J. Chest. PMID 22315263. Prevention of Venous Thromboembolism. This guideline focuses on optimal prophylaxis to reduce postoperative pulmonary embolism and DVT. Prevention of VTE in nonorthopedic surgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. VTE, Thrombophilia, Antithrombotic Therapy, and Pregnancy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (9 This guideline focuses on optimal prophylaxis to reduce postoperative pulmonary embolism and DVT. J Thromb Haemost.2010;8(11):2450-2457. 155 (9):625-32. venous thromboembolism, 8. th. Chest 2012. Risk factors for venous thrombosis - current The multinational ENDORSE study, performed in the last decade, which assessed risk for VTE based on the American College of Chest Physicians (ACCP) guidelines, showed that in the nine randomly selected Portuguese hospitals included, 52.7% of patients were at risk of VTE (68.9% of surgical patients and 38.5% of medical patients). 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