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Pulmonary embolism is the most common preventable cause of in-hospital death. Pharmacologic prophylaxis for venous thromboembolism (VTE) lowers risk for pulmonary embolism by 57% in medical patients and by 75% in general surgical patients; the American College of Chest Physicians (ACCP) offers regularly updated guidelines on VTE prophylaxis. Nevertheless, many at-risk patients do not receive VTE prophylaxis.
Investigators conducted 1-day cross-sectional surveys of acute-care wards in 358 randomly selected hospitals in 32 countries on six continents; they assessed the number of patients who were at risk for VTE by ACCP criteria and the proportions who received recommended VTE prophylaxis. More than 68,000 patients were assessed (45% medical; …