Corresponding author: Yan Jing, Department of Critical Care Medcine, Zhejiang Hospital, Hangzhou 310013, Zhejiang, China, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2023 Jun;35(6):561-572. doi: 10.3760/cma.j.cn121430-20230502-00329.
Patients with critical illness are at the high risk of venous thromboembolism (VTE), and the older the patient, the higher the incidence of VTE. Despite its poor prognosis, VTE is preventable. At present, although there are many consensus or guidelines on the prevention of VTE at home and abroad, there is still a lack of consensus or guidelines for the prevention of VTE in elderly patients with critical illness. In order to standardize the prevention of VTE in elderly patients with critical illness in China, Expert consensus on the prevention of venous thromboembolism for elderly patients with critical illness in China (2023) was developed by Critical Care Medicine Division of Chinese Geriatric Society and Zhejiang Provincial Clinical Research Center for Critical Care Medicine. Members of the working group consulted relevant domestic and foreign guidelines, integrated evidence-based medical evidence and clinical experience, formed the draft consensus, submitted it to the expert group for discussion for many times, revised it for many times, and finally sent it to the expert group in the form of electronic questionnaire, and the expert gave a comprehensive score according to the theoretical basis, scientific nature and feasibility of the consensus items. The recommendation strength of each item was determined, and 21 recommendations were finally formed to provide reference for the prevention of VTE in elderly patients with critical illness.
危重症患者发生静脉血栓栓塞症(VTE)的风险很高,且患者年龄越大,VTE的发生率越高。尽管VTE预后较差,但它是可预防的。目前,虽然国内外有许多关于VTE预防的共识或指南,但对于老年危重症患者VTE的预防仍缺乏共识或指南。为规范我国老年危重症患者VTE的预防,中国老年医学学会重症医学分会和浙江省重症医学临床研究中心制定了《中国老年危重症患者静脉血栓栓塞症预防专家共识(2023版)》。工作组成员查阅了国内外相关指南,整合循证医学证据和临床经验,形成共识草案,多次提交专家组讨论,多次修订,最后以电子问卷形式发送给专家组,专家根据共识条目的理论依据、科学性和可行性进行综合评分。确定了各条目的推荐强度,最终形成21条推荐意见,为老年危重症患者VTE的预防提供参考。