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HardPharmacologyAnticoagulation in Renal Impairmentmrcp part 1ukmlapaneprescribing safety assessment

A patient requires prophylactic anticoagulation for prevention of venous thromboembolism (VTE) following orthopaedic surgery. Their renal function is significantly impaired (eGFR 20 mL/min/1.73m$^2$). According to the BNF, which anticoagulant is generally preferred in severe renal impairment due to less reliance on renal excretion?

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