PM&R
Volume 2, Issue 7 , Pages 647-663, July 2010

Venous Thromboembolic Events in the Rehabilitation Setting

  • Brian M. Kelly, DO

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Michigan Health System, 325 Eisenhower, Suite 200, Ann Arbor, MI 48108⁎
    • Corresponding Author InformationAddress correspondence to: B.M.K.
    • ,
  • Brian M. Yoder, MD

      Affiliations

    • University Physician Group and Department of Physical Medicine and Rehabilitation, Rehabilitation Institute of Michigan, Detroit, MI⁎
    • Deceased.
    • ,
  • Chi-Tsai Tang, MD

      Affiliations

    • Physical Medicine and Rehabilitation, Washington University Orthopedics, St. Louis, MO⁎
    • ,
  • Thomas W. Wakefield, MD

      Affiliations

    • Department of Surgery, University of Michigan Health System, Ann Arbor, MI⁎

Received 2 December 2009; accepted 14 March 2010.

Abstract

Venous thromboembolism (VTE) is a disease entity that encompasses both deep venous thrombosis and pulmonary embolism. During the past decade there have been significant advances in the understanding of prophylaxis and treatment of VTE. There is an extensive research base from which conclusions can be drawn, but the heterogeneity within the rehabilitation patient population makes the development of rigid VTE protocols challenging and overwhelming for the busy clinician. Given the prevalence of this condition and its associated morbidity and mortality, we review the evidence for the prevention, identification, and optimal treatment of VTE in the rehabilitation population. Our goal is to highlight studies that have the most clinical applicability for the care of VTE patients from a physiatrist's perspective. At times, information about acute care protocols is included in our discussion because these situations are encountered during the consultation process that identifies patients for rehabilitation needs.

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  • ⁎ Disclosure: nothing to disclose
  • ⁎ Disclosure: nothing to disclose
  • ⁎ Disclosure: nothing to disclose
  • ⁎ Disclosure: nothing to disclose

 This CME activity is designated for 1.0 AMA PRA Category 1 Credit™ and can be completed online at me.aapmr.org. Log on to www.me.aapmr.org, go to Lifelong Learning (CME) and select Journal-based CME from the drop down menu. This activity is FREE to AAPM&R members and $25 for non-members.

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

PII: S1934-1482(10)00298-4

doi:10.1016/j.pmrj.2010.03.029

PM&R
Volume 2, Issue 7 , Pages 647-663, July 2010

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