Abstract：
:Venous thromboembolism (VTE) is frequent in patients hospitalized in Internal Medicine wards. It carries a considerable morbidity and mortality. Recommendations for use of anticoagulation are graded 1A in leading evidence-based consensus guidelines. Implementation of these guidelines is suboptimal. Lack of awareness seems to be an important factor for the low implementation rate of thromboprophylaxis in Internal Medicine wards, but other factors may be equally important: some clinicians find the data favoring thromboprophylaxis unconvincing or believe that pharmacological prevention is too risky for the average medical inpatient. The following review will show that although there is a dispute about the clinical importance of some manifestations of thromboembolic disease, anticoagulation significantly reduces the risk for clinically relevant VTE. The bleeding risk in most patients is low and does not outweigh the benefit of treatment. Pharmacological or mechanical thromboprophylaxis is cost-effective when administered to at-risk patients. Better awareness and judicious use of risk assessment models should help the attending physician to balance the risk of VTE against the potential bleeding risk.
journal_name
Eur J Intern Medjournal_title
European journal of internal medicineauthors
Roth-Yelinek Bdoi
10.1016/j.ejim.2011.11.005subject
Has Abstractpub_date
2012-04-01 00:00:00pages
236-9issue
3eissn
0953-6205issn
1879-0828pii
S0953-6205(11)00269-Xjournal_volume
23pub_type
杂志文章abstract：:The Medical Emergency Team (MET) has enhanced the recognition and response to clinical deterioration in acute healthcare. However, patients reviewed by the MET are at increased risk of in-hospital death. Identifying patients at risk of deterioration may improve patient outcomes. AIM: To identify patient demographic, m...
journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2019.05.021
更新日期：2019-08-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2014.01.009
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journal_title：European journal of internal medicine
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doi：10.1016/j.ejim.2012.11.008
更新日期：2013-07-01 00:00:00
abstract：:The evolution of strategies for the use of spironolactone and its analogue, eplerenone, has, over the years, encompassed favourable modification of the natural history of symptomatic heart failure in subjects with subnormal left ventricular ejection fraction (LVEF), and mitigation of the risk of new-onset atrial fibri...
journal_title：European journal of internal medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ejim.2012.11.007
更新日期：2013-06-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2018.02.005
更新日期：2018-06-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2013.12.011
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journal_title：European journal of internal medicine
pub_type： 临床试验,杂志文章
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更新日期：2014-11-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2004.10.022
更新日期：2005-06-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2015-10-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章,评审
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2005.09.004
更新日期：2005-11-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/s0953-6205(03)90008-2
更新日期：2003-10-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2004.08.009
更新日期：2004-11-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 临床试验,杂志文章
doi：10.1016/j.ejim.2008.12.010
更新日期：2009-07-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2020.12.025
更新日期：2021-01-12 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ejim.2018.05.029
更新日期：2018-12-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 临床试验,杂志文章
doi：10.1016/j.ejim.2009.04.003
更新日期：2009-10-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2015.05.012
更新日期：2015-07-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2020-07-01 00:00:00
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journal_title：European journal of internal medicine
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更新日期：2000-12-20 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章,多中心研究
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更新日期：2017-06-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
doi：10.1016/j.ejim.2007.05.009
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journal_title：European journal of internal medicine
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更新日期：2020-08-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2011-04-01 00:00:00
abstract：:The rising incidence of Clostridium difficile (C. difficile) infection or CDI is now a problem of pandemic proportions. The NAP1 hypervirulent strain of C. difficile is responsible for a majority of recent epidemics and the widespread use of fluoroquinolone antibiotics may have facilitated the selective proliferation ...
journal_title：European journal of internal medicine
pub_type： 杂志文章,评审
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更新日期：2011-12-01 00:00:00
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journal_title：European journal of internal medicine
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更新日期：2013-04-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2014-07-01 00:00:00
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journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2016-03-01 00:00:00
abstract：:Background: Parkinson's disease is a common neurodegenerative disorder that affects an increasing number of older people every year. Dysphagia is not only a common feature, but one that results in poor nutrition and an increased risk of bronchopneumonia. Previous work has suggested that the oral flora is altered in pa...
journal_title：European journal of internal medicine
pub_type： 杂志文章
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更新日期：2003-12-01 00:00:00
