Why is DVT Prophylaxis Suboptimal?
Many physicians who treat general medicine patients do not consider the heterogeneity of this population. Younger hospitalized patients are typically at very low risk for DVT, but these individuals frequently receive the most aggressive prophylaxis. Conversely, older patientsthe ones considered to be at highest risk for DVT and subsequent adverse eventsare not consistently receiving aggressive prophylaxis. Its a significant problem that contributes greatly to poor outcomes. Study after study suggests that physician awareness of DVT prevention is a critical problem. Although programs like DVT Awareness Month and other initiatives have helped to slightly increase awareness on the disease, a significant gap in care still exists. Compounding the problem is that several different methods of prophylaxis are available, which can make it challenging for physicians to determine which strategy is the most appropriate. In addition, physicians must consider economic costs and patient tolerability