NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Medicines
Medicines Update

Thromboprophylaxis in Orthopaedics - an update

The NHSGGC Guideline on Orthopaedic Thromboprophylaxis for Patients Admitted to Hospital has been reviewed and updated. This is now available on the Clinical Guideline Repository on Staffnet here.

The main changes to the new guideline are:

  • Emphasis on the need to risk assess every patient (including day surgery patients and 23 hour admissions) for VTE and bleeding risk on admission and then regularly during their hospital stay. A record of these assessments must be made and documented in patients' records.
  • Information has been added on how best to manage patients on long term antiplatelets or anticoagulants who require thromboprophylaxis beyond discharge.
  • Specific recommendations on how to manage all patients with casts/ boots/ splints have been added, irrespective of whether they had surgery.
  • Recommendations for some elective procedures (including knee and hip replacement) have been simplified.

For general information on Venous Thromboembolism (VTE) including prevention, diagnosis, treatment and patient information please visit the VTE page on Staffnet.


Published 20/02/18