Nursing-Led Deep Vein Thrombosis Prevention in Neurosurgery

Exclusion Criteria

• •Pre-operative ultrasound or imaging proven DVT or pulmonary embolism
• •Known hereditary bleeding disorder (e.g., hemophilia) or platelet count \< 50 × 10⁹/L
• •Chronic therapeutic anticoagulation (warfarin, DOAC, heparin) that cannot be safely stopped, or need for full-dose post-op anticoagulation
• •Severe liver disease (Child-Pugh class C) or eGFR \< 30 mL/min/1.73 m²
• •Life-limiting co-morbidity with expected survival \< 30 days
• •Pregnancy or breastfeeding
• •Current participation in another interventional VTE trial