Risk group

Recommended prophylaxis

Low VTE risk (Padua < 4)

Recommend against the use of pharmacologic or mechanical prophylaxis (Grade 1B)

Low VTE risk (Paudua < 4) with high bleed risk

Recommend against anticoagulant thromboprophylaxis (Grade 1B)

High VTE risk (Padua ≥ 4)

Thromboprophylaxis with LMWH (Grade 1B), LDUH BID or TID (Grade 1B), or fondaparinux (Grade 1B).

High VTE risk (Padua ≥ 4) with high bleed risk

Mechanical thromboprophylaxis with graduated compression stockings (GCS) (Grade 2C) or intermittent pneumatic compression (IPC) (Grade 2C).

When bleeding risk decreases suggest pharmacologic thromboprophylaxis is substituted for mechanical thromboprophylaxis (Grade 2B).

Extended duration of thromboprophylaxis

Recommend against extending the duration of thromboprophylaxis beyond the period of patient immobilization or acute hospital stay.