This guideline covers assessing and reducing the risk of venous thromboembolism (VTE or blood clots) and deep vein thrombosis (DVT) in people aged 18 and over in hospital. It aims to help healthcare professionals identify people most at risk of VTE. It describes treatments and interventions that can be used to prevent VTE.
In June 2015, recommendations were added on mechanical prophylaxis for venous thromboembolism in medical patients who are admitted for stroke.
This guideline includes recommendations on:
- assessing the risks of VTE and bleeding
- reducing the risk of VTE
- using VTE prophylaxis
- treatment for medical patients, surgical patients and other patient groups
- patient information and planning for discharge
Who is it for?
- Healthcare professionals
- People going into hospital who are at risk of VTE and their carers
Is this guideline up to date?
Guideline development process
This guideline updates and replaces NICE guideline CG46 (April 2007).
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.