PMID- 19520676 OWN - NLM STAT- MEDLINE DCOM- 20100309 LR - 20091113 IS - 1938-2723 (Electronic) IS - 1076-0296 (Linking) VI - 15 IP - 5 DP - 2009 Oct TI - Economic and practical aspects of thromboprophylaxis with unfractionated and low-molecular-weight heparins in hospitalized medical patients. PG - 489-500 LID - 10.1177/1076029609335910 [doi] AB - Acutely ill medical patients are at significant risk of developing venous thromboembolic (VTE) complications during or after their hospitalization. Venous thromboembolic events, such as proximal deep vein thrombosis (DVT) or pulmonary embolism (PE), place a high and unacceptable burden on health care resources, up to US$1.5 billion annually in the United States. However, the burden of VTE can be reduced by use of appropriate thromboprophylaxis. Prophylaxis of VTE with either a low-dose unfractionated heparin (UFH) or a low-molecular-weight heparin (LMWH) in medical inpatients is effective, well tolerated and cost-effective, compared with no prophylaxis. Low-molecular-weight heparins have a number of practical benefits over UFH, including once-daily subcutaneous injection and the potential to be used in the outpatient setting. These clinical advantages could translate to improved patient adherence to therapy and provide economic benefits, where LMWHs are more cost-effective compared with UFH. FAU - Pineo, Graham F AU - Pineo GF AD - From the University of Calgary, Alberta, Canada. graham.pineo@calgaryhealthregion.ca FAU - Hull, Russell D AU - Hull RD LA - eng PT - Journal Article PT - Review DEP - 20090610 PL - United States TA - Clin Appl Thromb Hemost JT - Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis JID - 9508125 RN - 0 (Heparin, Low-Molecular-Weight) SB - IM MH - Cost-Benefit Analysis MH - Heparin, Low-Molecular-Weight/*economics/*therapeutic use MH - Humans MH - Postoperative Care/economics/methods MH - Postoperative Complications/prevention & control MH - Risk Factors MH - Venous Thromboembolism/drug therapy/*economics/*prevention & control RF - 71 EDAT- 2009/06/13 09:00 MHDA- 2010/03/10 06:00 CRDT- 2009/06/13 09:00 PHST- 2009/06/13 09:00 [entrez] PHST- 2009/06/13 09:00 [pubmed] PHST- 2010/03/10 06:00 [medline] AID - 1076029609335910 [pii] AID - 10.1177/1076029609335910 [doi] PST - ppublish SO - Clin Appl Thromb Hemost. 2009 Oct;15(5):489-500. doi: 10.1177/1076029609335910. Epub 2009 Jun 10.