Venous thromboembolism Circulatory System
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults (>18 years) 2. Participants undergoing elective surgery; risk assessed as requiring EDPTP. Participants are deemed to require extended duration thromboprophylaxis measures as per local policy in line with NICE [NG89] guidelines. Examples of procedures from which patients are at the highest risk of VTE include (but are not limited to): orthopaedic surgery (total hip replacement, total knee replacement, colorectal surgery (colectomy, splenectomy), upper gastrointestinal surgery (oesophagectomy, gastrectomy), urological surgery (cystectomy, nephrectomy), and gynaecological oncology surgery (radical hysterectomy, radical trachelectomy).
Exclusion criteria
Exclusion criteria: 1. Contraindications to EDPTP or GCS 2. Individuals requiring therapeutic anticoagulation e.g., anticoagulation for previous DVT 3. Known thrombophilia or thrombogenic disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Imaging-confirmed lower limb DVT with or without symptoms, or PE with symptoms, occurring up to 90 days post-surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Defined as occurring within 90 days of surgery: 1. Mortality recorded within 90 days 2. Adverse events related to GCS recorded within 90 days 3. Adherence with GCS, defined as (percentage of actual days worn / maximum number of days prescribed according to local practice) 4. Adherence with EDPTP, defined as (percentage of actual days taken / maximum number of days prescribed, according to local practice) 5. Safety outcome measures, defined as major bleeding events recorded within 90 days | — |
Countries
England, United Kingdom