Venous thromboembolism prophylaxis in adults hospitalised for psychiatric illness: an evidence-based clinical practice guideline developed using GRADE
Clinicians should not use parenteral pharmacological prophylaxis in adults hospitalised with psychiatric illness at low risk of VTE; and should consider using parenteral pharmacological prophylaxis for high-risk adults with no contraindications. Graduated compression stockings are not recommended in high-risk patients when parenteral pharmacological prophylaxis is contraindicated. These GRADE- based recommendations offer one of the first evidence-based practice guidelines for thromboprophylaxis decisions in psychiatric in-patient settings.
Authors
- Dolores Keating (ORCID: https://orcid.org/0000-0001-7507-2680)
- Richard M. Duffy (ORCID: https://orcid.org/0000-0003-2170-5010)
- Jennifer M.D. Hoblyn
- Josie Jenkinson (ORCID: https://orcid.org/0000-0003-0168-9383)
- Fionnuala Ní Áinle (ORCID: https://orcid.org/0000-0003-0163-792X)
- Audrey Purcell (ORCID: https://orcid.org/0000-0002-6948-4555)
- Arnav Agarwal
- Kathy Morgan
- Aurelien Delluc
- Aoife Carolan
- Eric Roche
- Sarah Garvey
- Beverley J. Hunt
- Joanne Flood
- Ann Marie O′ Neill
Institutions
- University College Dublin (IE)
- Royal College of Surgeons in Ireland (IE)
- University of Ottawa (CA)
- University of Alberta (CA)
- Guy's and St Thomas' NHS Foundation Trust (GB)
- Rotunda Hospital (IE)
- Beaumont Hospital (IE)
- Health Service Executive (IE)
- Mental Health Ireland (IE)
- King's College Hospital NHS Foundation Trust (GB)
- Adient (Ireland) (IE)
- Pennine Care NHS Foundation Trust (GB)
- St John of God Hospital (AU)
- Imperial College London (GB)
- Surrey and Borders Partnership NHS Foundation Trust (GB)
- Royal College of Psychiatrists (GB)
- McMaster University (CA)
Publication Details
- Journal
- International Journal of Clinical Pharmacy
- Published
- 2026-01-16
- DOI
- https://doi.org/10.1007/s11096-025-02072-1
- Primary Topic
- Venous Thromboembolism Diagnosis and Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- McMaster University
- Royal College of Surgeons in Ireland