Article Text

Download PDFPDF
BET 3: Evidence exists to guide thromboembolic prophylaxis in ambulatory patients with temporary lower limb immobilisation


A short-cut review was carried out to establish whether patients requiring lower limb immobilisation should have thromboprophylaxis. A total of 148 papers were found using the reported search, of which four presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. The clinical bottom line is that ambulatory patients with temporary lower leg immobilisation who are over 50, in a rigid cast, non-weight bearing or with a severe injury should be considered as an at risk group for venous thromboembolism (VTE). If there are any other current proven VTE risk factors, patients should be considered as high risk.

  • Research
  • epidemiology
  • cardiac care
  • airway
  • eyes
  • major incident planning
  • ECG
  • rsi
  • major incidents
  • acute medicine other
  • education

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Provenance and peer review Commissioned; internally peer reviewed.