Travel-Related Thrombosis (bsh 2010)
Definition
Thrombosis occurring within 8 weeks of journey
Risk
VTE – 0.5% for flights >8 hours for low-intermediate risk flyers
PE – 5 per million for flights >12 hours
Management
No evidence of a link between travel-related VTE and dehydration.
Indirect evidence to support maintaining mobility on flights >3 hours
Highest risk travelers should consider below knee stockings
Surgery within the last 1 month
Active malignancy
Previous unprovoked, or travel-provoked, VTE
Drug prophylaxis should be on a patient-by-patient basis
If used, use anticoagulant not antiplatelet (based on studies of other VTEs)