Review decision date: July 2014

Review decision: 

Following the recent surveillance review decision, a standard update of this guideline will be scheduled into the work programme. Details of the update will be available on the guidelines in development webpage in due course.

Next review date: TBC

This guidance is about the care and treatment of people who are at risk of developing deep vein thrombosis (DVT) while in hospital in the NHS in England and Wales. It should be read in conjunction with  technology appraisal 245 (published in January 2012).

The advice in the NICE guideline covers the care and treatment that should be offered to:

  • all adults (aged 18 and over) who are admitted to hospital as inpatients (including those admitted for day-case procedures).

It does not cover the care and treatment that should be offered to:

  • people under the age of 18
  • people attending hospital as outpatients
  • people attending emergency departments who are not admitted to hospital
  • older people who are cared for at home or in residential care homes
  • people who are immobile and are cared for at home or in residential care homes
  • people who are admitted to hospital because they have a diagnosis or signs and symptoms of DVT or pulmonary embolism.

June 2015: Recommendations on mechanical prophylaxis for venous thromboembolism in patients who are admitted for stroke have been added to section 1.4. The addendum contains details of the methods and evidence used to update these recommendations. 

This guidance updates and replaces NICE NICE guideline CG46 (published in April 2007).

This guideline is being updated. See information on the new evidence and progress of the update on the guideline in-development page.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users 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 compliance with those duties.

  • National Institute for Health and Care Excellence (NICE) accreditation logo