Its hard to say whether it will have any effect. It seems a lot of the doctors still believe in mechanical prophy for a lot of patients. Anecdotal experiences seem to affect rationale at times.
We don't see a ton of stroke patients as we have two stroke centers in the area. A lot of our surgical patients are all ready on some sort of LMWH. And then the renal patients usually get their heparin.
But I am really uncertain how much has changed from other guidelines, it seems if they are at risk, they should be on anticoagulation. I don't know how much thats really different. Now stratifying risk is something that really should be researched or design. People like when they can put a risk score of some sort together to help them decide. I'm afraid that its a case of out of sight/out of mind. Providers don't think about it because they might fit what are traditionally "At risk" patients (cancer, past history, surgical, etc.)
