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Previous Volume 356:1438-1444 April 5, 2007 Number 14 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 62-year-old man is admitted with fever, cough, and dyspnea. He is weak, appears to be dehydrated, and has purulent sputum. His temperature is 39.2°C, respirations 22, and blood pressure 128/69 mm Hg. There are crackles over the left lower lung field, and chest radiography shows a density in the left lower lobe that is consistent with pneumonia. Should thromboprophylaxis be provided? . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Assessment of Risk

Prophylaxis

            Nonpharmacologic Therapies

            Anticoagulant Prophylaxis

            Comparison of Anticoagulant Regimens

            Patients with Cancer

            Patients with Stroke

            Patients with Other Critical Illnesses

            Strategies to Increase the Use of Anticoagulation in At-Risk Hospitalized Patients

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Hematology and Oncology, University of Rochester Medical Center, Rochester, NY.

Address reprint requests to Dr. Francis at the University of Rochester Medical Center, 601 Elmwood Ave., Box 610, Rochester, NY 14642, or at charles_francis@urmc.rochester.edu.

Related Letters:

Prophylaxis for Thromboembolism in Hospitalized Medical Patients
Calderón-Gerstein W., Famularo G., Minisola G., De Simone C., Francis C. W.
Extract | Full Text | PDF  
N Engl J Med 2007; 357:304-306, Jul 19, 2007. Correspondence

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