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《住院患者中的靜脈血栓栓塞預防臨床實(shí)踐指南》內容預覽

Desc**tion: The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recom- mendations on prophylaxis of venous thromboembolism for hospi- talized nonsurgical patients (medical patients and patients with acute stroke).
Methods: This guideline is based on published literature on thetopic from 1950 through April 2011 that was identified by using MEDLINE, the Cochrane Library, and reference lists of pertinentrandomized trials and systematic reviews to identify additional re-ports. Searches were limited to randomized trials and English- language publications. The primary outcome for this guideline was total mortality up to 120 days after randomization. Secondary out-comes included symptomatic deep venous thrombosis; all pulmo-nary embolisms; fatal pulmonary embolism; all bleeding events; major bleeding events; and, for mechanical prophylaxis, effects on skin. This guideline grades the evidence and recommendations by using the ACP’s clinical practice guidelines grading system.

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