Factors at admission associated with bleeding risk in medical patients: findings from the IMPROVE investigators.

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Chest, ISSN: 1931-3543, Vol: 139, Issue: 1, Page: 69-79

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Decousus, Herve; Tapson, Victor F.; Bergmann, Jean-Francois; Chong, Beng H.; Froehlich, James B.; Kakkar, Ajay K.; Merli, Geno J.; Monreal, Manuel; Nakamura, Mashio; Pavanello, Ricardo; Pini, Mario; Piovella, Franco; Spencer, Frederick A.; Spyropoulos, Alex C.; Turpie, Alexander G.G.; Zotz, Rainer B.; Fitzgerald, Gordon; Anderson, Frederick A., Jr.; IMPROVE Investigators Show More Hide
Elsevier BV
Medicine; Acute Disease; Aged; Female; Fibrinolytic Agents; Hemorrhage; Humans; Incidence; *Inpatients; Length of Stay; Male; Middle Aged; Patient Admission; Prognosis; Retrospective Studies; Risk Assessment; Risk Factors; Survival Rate; Thromboembolism; Cardiovascular Diseases; Health Services Research
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Acutely ill, hospitalized medical patients are at risk of VTE. Despite guidelines for VTE prevention, prophylaxis use in these patients is still poor, possibly because of fear of bleeding risk. We used data from the International Medical Prevention Registry on Venous Thromboembolism (IMPROVE) to assess in-hospital bleeding incidence and to identify risk factors at admission associated with in-hospital bleeding risk in acutely ill medical patients.