Updated NICE guideline NG158 – ‘Venous thromboembolic diseases: diagnosis, management and thrombophilia testing’

This new update to NICE guideline NG158 brings new recommendations following a review of evidence for people with COVID-19. This has led to updates on the use of Wells score and D-dimer in the diagnostic pathways for pulmonary embolism and deep vein thrombosis.

The recommendations covered by this guideline include:

• diagnosing and managing suspected DVT and PE
• outpatient management of low-risk PE
• anticoagulation treatment for suspected or confirmed DVT or PE
• long-term anticoagulation for secondary prevention
• information and support for people having anticoagulation treatment
• thrombolytic therapy, inferior vena caval filters, investigations for cancer and thrombophilia testing

Full details of this NICE guideline, including further information on the update can be found here: https://www.nice.org.uk/guidance/ng158