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Preventive Measures Of Venous Thromboembolism In The Hospitalized Patient: An Integrative Literature Review

Table 4:

Risk Profile Preventive measures Recommendation strength
Low Risk(0-1 points) Early ambulationActive exercises of the lower limbs Level 1B
Moderate/high risk(2/4 points) Early mobilization: adequate positioning, respiratory functional reeducation techniques; Joint and muscular mobilization techniques (passive, active, active-assisted and active-resisted mobilizations); Bearing, bridge and hook techniques; Scapular and pelvic girdle dissociation techniques; Bedside, orthostatism, transfer to the chair, and ambulation.In the surgical patient: graduated compression stockings or intermittent pneumatic compression devices Level 1BLevel 2C
Very high risk(5 points or more) Early mobilization: adequate positioning, respiratory functional reeducation techniques; Joint and muscular mobilization techniques (passive, active, active-assisted and active-resisted mobilizations); Bearing, bridge and hook techniques; Scapular and pelvic girdle dissociation techniques; Bedside, orthostatism, transfer to the chair, and ambulation.In the surgical patient: CPI Level 1BLevel 2C
This framework was elaborated according to the Recommendations of the 9th Consensus of the ACCP Antithrombotic Therapy and Prevention of Thrombosis Guideline of 2012 and the MAR of Caprini.
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