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Pandor A, Horner D, Davis S, et al. Different strategies for pharmacological thromboprophylaxis for lower-limb immobilisation after injury: systematic review and economic evaluation. Southampton (UK): NIHR Journals Library; 2019 Dec. (Health Technology Assessment, No. 23.63.)

Cover of Different strategies for pharmacological thromboprophylaxis for lower-limb immobilisation after injury: systematic review and economic evaluation

Different strategies for pharmacological thromboprophylaxis for lower-limb immobilisation after injury: systematic review and economic evaluation.

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Glossary

Chronic thromboembolic pulmonary hypertension

Persistent increased blood pressure in the arteries supplying the lungs, which is caused by pulmonary embolism and results in long-term shortness of breath and fatigue.

Cost-effectiveness acceptability curve

A way of illustrating cost-effectiveness results by plotting the probability that the intervention is cost-effective (y-axis) against the maximum that society is willing to pay for an improvement in health (x-axis).

Cost-effectiveness plane

A way of illustrating cost-effectiveness results by plotting the mean incremental cost and effectiveness on a four-quadrant graph. Interventions that are more costly and more effective fall in the north-east quadrant.

Deep-vein thrombosis

A blood clot that develops within a deep vein in the body, usually in the leg.

Incremental cost-effectiveness ratio

The difference in the mean costs in the population of interest divided by the differences in the mean outcomes in the population of interest.

L-TRiP(cast)–N

A strategy of giving thromboprophyalxis to patients with a L-TRiP(cast) score of N or above.

Post-thrombotic syndrome

Pain, swelling, itching, skin discolouration and leg ulcers occurring after a deep-vein thrombosis, caused by damage to the valves in the leg veins that prevent backflow of blood.

Predictor

Throughout this report, ‘predictor’ is used to refer to any clinical, laboratory or demographic characteristic. The term ‘predictor’ encompasses other similar terms, such as prognostic factor, covariate and variable.

Prophylaxis

A measure taken to prevent a disease.

Pulmonary embolism

A blood clot that breaks off from the deep veins and travels around the circulation to block the pulmonary arteries (arteries in the lung). Most deaths arising from deep-vein thrombosis are caused by pulmonary embolism.

Quality-adjusted life-year

A measure of the benefit of health care that combines the impact of both the expected length of life and quality of life.

Risk assessment models

In this report, defined as a combination of at least two predictors within a statistical model that is used to predict an individual’s risk of outcome, for example venous thromboembolism. Other terms also related to risk assessment models may include prognostic model, prediction models, clinical decision rules and clinical prediction guides. The term ‘risk assessment model’ is used in this report to encompass all of these terms; therefore, all are considered to refer to the same thing.

Thromboprophylaxis

A measure taken to reduce the risk of thrombosis.

Vein thrombosis

A condition in which a blood clot (thrombus) forms in a vein.

Venous thromboembolism

The blocking of a blood vessel by a blood clot dislodged from its site of origin. It includes both deep-vein thrombosis and pulmonary embolism.

Copyright © Queen’s Printer and Controller of HMSO 2019. This work was produced by Pandor et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.
Bookshelf ID: NBK551221

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