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Among the high VTE risk elderly patients, the number of patients receiving mechanical prophylaxis in the high bleeding-risk group was higher than that in the low bleeding-risk group (P0.0001). Elderly patients in the ICU have the highest risk of VTE and high bleeding risk; decisions concerning clinical prophylaxis should be made after appropriate information on the risk and benefit on an individual level is considered. Elderly patients in the ICU have the highest risk of VTE and high bleeding risk; decisions concerning clinical prop