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Invited Commentary
October 9, 2019

Are We Really Supposed to Start Giving Venous Thromboembolism Prophylaxis for a Month After Outpatient Surgery?

Author Affiliations
  • 1Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 2Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 3Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 4The Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, Maryland
  • 5Department of Health Policy and Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
JAMA Surg. 2019;154(12):1133. doi:10.1001/jamasurg.2019.3753

Venous thromboembolism (VTE) remains a significant cause of postoperative morbidity, and inpatient postoperative VTE prophylaxis remains standard of care.1 For select procedures, there is a well-recognized risk of VTE that extends beyond hospital discharge,2 and numerous guidelines support extended prophylaxis for 4-6 weeks following discharge for high-risk surgical subgroups.1,3

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