GUIDELINESAsian venous thromboembolism guidelines:updated recommendations for the preventionof venous thromboembolismNgoh C. LIEW 1 *, Gina V. ALEMANy 2 , Pantep ANGCHAISUKSIRI 3 , Soo-Mee BANG 4 , Gordon CHoI 5 ,Deidre A. DE SILVA 6 , Ji M. HoNG 7 , Limi LEE 1 , yong J. LI 8 , Ganesan N. RAJAMoNEy 9 , John SUVIRAJ 10 ,Thiam C. TAN 11 , Eric TSE 12 , Li T. TEo 13 , Julie VISPERAS 14 , Raymond S. WoNG 15 , Lai H. LEE 161Department of Surgery, University Putra Malaysia and Hospital Serdang, Serdang, Malaysia; 2Department of Cardiology, Makati Medical Centre, Makati, Philippines; 3Division of Hematology, Department of Medicine, Mahidol University Bangkok, Ramathibodi Hospital, Bangkok, Thailand; 4Department of Internal Medicine, Seoul National University, Bundang Hospital, Seoul, South Korea; 5Department ofAnaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong; 6National Neuroscience Institute (Singapore General Hospital campus), Singapore; 7Department of Neurology, Ajou University School of Medicine, Suwon, South Korea; 8Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China; 9Orthopedic Centre, Raffles Hospital, Singapore; 10Sir Ganga Ram Hospital, Delhi, India; 11Department of o and G KK Women’s and Children’s Hospital, Singapore; 12Department of Medicine, The University of Hong Kong, Hong Kong; 13Department of Trauma and Acute Care Surgery, Tan Tock Seng Hospital, Singapore; 14Department of Medicine and Physiology, Faculty of Medicine and Surgery, University of Santo Tomas, Santo Tomas, Philippines; 15Department of Medicine and Therapeutics, Sir y.K. Pao Cancer Centre, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong; 16Department of Hematology, Singapore General Hospital, Singapore*Corresponding author: Ngoh C. Liew, Department of Surgery, University Putra Malaysia, Hospital Serdang, Serdang, Malaysia. E-mail: liewnc@yahoo.comA BS TRA C TThe Asian venous thromboembolism (VTE) prophylaxis guidelines were first published in 2012. Since its first edition, the Asian Venous Throm- bosis Forum (AVTF) working group have updated the Asian VTE epidemiology and reviewed issues that were not addressed in the previous guidelines. The authors noted that the rising incidence of VTE across Asia may be attributable to aging population, dietary changes, and increas- ing incidence of obesity and diabetes. The new additions in the guideline include role of thrombophilia in VTE, bleeding risk in Asians, indi- vidual risk assessment, updates in the prevention of VTE in medically ill, bariatric surgery, cancer, orthopedic and trauma patients. The influence of primary thrombophilia in perioperative VTE is still unclear. The secondary risk factors, however, are similar between Asians and Caucasians. The group found no evidence of increased risk of bleeding while using pha...
