RecommendationEncourage patients to mobilise as soon as possible.
Relative values of different outcomesThe GDG considered that it was a priority to reduce the risk of death from PE and to prevent long term morbidity from DVT such as Post thrombotic syndrome. However the safety of the patient and adverse effects of the prophylaxis should be considered.
Trade off between clinical benefit and harmsWhilst encouraging patients to mobilise as soon as possible requires staff resources, the benefit of reducing the risk of VTE mean that it is good practice.
Economic considerationsThere is no cost-effectiveness evidence for encouraging patients to mobilise early. The GDG believe that this represents a good use of resources.
Quality of evidenceThere is no RCT evidence to contradict the practices of encouraging patients to mobilise early or exercising their legs while immobile in bed.
Other considerationsNone

From: 7, Nursing care: early mobilisation, physiotherapy and hydration

Cover of Venous Thromboembolism
Venous Thromboembolism: Reducing the Risk of Venous Thromboembolism (Deep Vein Thrombosis and Pulmonary Embolism) in Patients Admitted to Hospital.
NICE Clinical Guidelines, No. 92.
National Clinical Guideline Centre – Acute and Chronic Conditions (UK).
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