Ambulante Thromboseprophylaxe

While thrombosis prevention is routine in traumatology and orthopaedics departments, there is some controversy over whether it should be applied in outpatients. New clinical studies have shown that a trauma or an operation is followed by a period during which the risk of thrombosis is extremely high. So far no standardized models are available for determining the necessity for temporary prophylactic treatment to avoid thrombosis, and publications on the incidence of deep leg vein thrombosis during ambulatory treatment have presented widely deviating views. More recent studies show a difference between expositional risks and dispositional risks. In this article, evidential data, recent literature and the latest communications issued by specialist societies are used as a basis for presentation of the indications for such ambulatory treatment and guidelines on its maximum duration.