Table 2

Absolute and relative contraindications to anticoagulant prophylaxis

Active bleeding* 
Lumbar puncture/epidural/spinal anesthesia within the previous 4 hours or expected within the next 12 hours* 
Concurrent use of anticoagulants known to increase the risk of bleeding (eg, warfarin with INR > 2)* 
Acquired bleeding disorders (eg, acute liver failure) 
Mucosal lesions (eg, active peptic ulceration, bronchiectasis) 
Acute stroke (within 24 hours) 
Thrombocytopenia (platelets < 75 × 109/L) 
Uncontrolled systolic hypertension (≥ 230/120 mmHg) 
Untreated inherited bleeding disorders (eg, hemophilia or von Willebrand disease) 
Active bleeding* 
Lumbar puncture/epidural/spinal anesthesia within the previous 4 hours or expected within the next 12 hours* 
Concurrent use of anticoagulants known to increase the risk of bleeding (eg, warfarin with INR > 2)* 
Acquired bleeding disorders (eg, acute liver failure) 
Mucosal lesions (eg, active peptic ulceration, bronchiectasis) 
Acute stroke (within 24 hours) 
Thrombocytopenia (platelets < 75 × 109/L) 
Uncontrolled systolic hypertension (≥ 230/120 mmHg) 
Untreated inherited bleeding disorders (eg, hemophilia or von Willebrand disease) 
*

Absolute contraindications.

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