A Prospective Study of Venous Thromboembolism After Major Trauma

Hollingsworth-Fridlund, Peggy; Geerts, W.; Code, Karen I.; Jay, Richard; Chen, E.; Szalai, John Paul

doi:10.1097/00043860-199710000-00006

Cited by 903 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1 Considerable research has indicated that DVT incidence in trauma patients varies from 0.76% to 5%, even though prophylactic measures such as rivaroxaban and lowmolecular-weight heparin have been used for optimal prophylaxis. [2][3][4] It is accepted that inferior vena cava filter (IVCF) implantation is an important preventative method for PE 5 and has been shown to lower the incidence of PE from 60%-70% to 0.9%-5.0%. 6 However, each coin has two sides.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for inferior vena cava filter thrombosis in traumatic fracture patients with deep venous thrombosis of lower extremity: A single-center experience

et al. 2022

View full text Add to dashboard Cite

Objective To explore the risk factors for inferior vena cava filter (IVCF) thrombus in orthopedic trauma patients who underwent filter placement with ongoing anticoagulation in clinical settings. Methods We retrospectively analyzed clinical data from fracture patients with lower extremity acute deep vein thrombosis (DVT) implanted with an IVCF admitted to Tianjin Hospital from January 2017 to December 2019. Potential risk factors, such as gender, age, diabetes, hypertension, fracture sites, thrombus location, free-floating thrombus, filter type, Injury Severity Score (ISS), and postoperative D-dimer values, were analyzed by the Chi-square test, t-test, logistic regression, and receiver operating characteristic (ROC) curve analysis. Results A total of 662 patients were included in our study, and filter-related thrombosis was present in 67 (10.1%) patients. No significant differences were observed in age, gender, hypertension, diabetes, fracture site, free-floating thrombus, filter type, indwelling time, and postoperative D-dimer level. Thrombus location and ISS were significantly different ( p < 0.05). Popliteal DVT (P-DVT) (odds ratio [OR]: 2.130, p = 0.018) and ISS (OR: 1.135, p = 0.000) were associated with filter thrombus. Patients with P-DVT were prone to a small filter thrombus (OR: 3.231, p = 0.037). From the ROC curve analysis, the diagnostic value of ISS was 24.5 and 26.5 for patients with filter and massive filter thrombus, respectively. Conclusion Thrombus location and ISS were independent risk factors for filter thrombus in patients with traumatic fractures. P-DVT had a higher potential to result in a small filter thrombus and an ISS value >26.5, which was considered a significant massive filter thrombus predictor.

show abstract

Section: Introductionmentioning

confidence: 99%

Risk factors for inferior vena cava filter thrombosis in traumatic fracture patients with deep venous thrombosis of lower extremity: A single-center experience

et al. 2022

View full text Add to dashboard Cite

show abstract

Vena Cava Filter Use in Trauma and Rates of Pulmonary Embolism, 2003-2015

et al. 2017

View full text Add to dashboard Cite

show abstract

Deep venous thrombosis after orthopedic surgery in adult cancer patients

et al. 1998

View full text Add to dashboard Cite

Background and Objectives: Patients with cancer and patients undergoing major orthopedic procedures are two groups at risk of deep venous thrombosis (DVT). The objective was to determine the rate of venous thromboembolic disease in patients with a malignant neoplasm and major orthopaedic surgery of the lower limb. Methods The study included 169 patients. All patients were given knee‐high intermittent pneumatic compression devices for prophylaxis. Postoperative surveillance for thrombosis was performed on all patients with venous duplex doppler ultrasonography. Results Proximal DVT occurred in 24 of 169 patients (14.2%). One patient (0.6%) developed a symptomatic, nonfatal pulmonary embolus (PE). The development of DVT was not associated with age, sex, type of surgery, type of neoplasm, location, or pathologic fracture. The addition of anticoagulant medication such as warfarin did not significantly reduce the rate of DVT in a subset of 54 patients. In three patients, the DVT occurred only in the contralateral limb, and in four patients, there were bilateral DVTs. Conclusions When intermittent compression boots were used for prophylaxis in conjunction with ultrasound screening, the risk of proximal DVT was substantial (14.2%), but the rate of symptomatic PE was low (0.6%). J. Surg. Oncol. 1998;68:41–47. © 1998 Wiley‐Liss, Inc.

show abstract

A Prospective Study of Venous Thromboembolism After Major Trauma

Cited by 903 publications

References 0 publications

Risk factors for inferior vena cava filter thrombosis in traumatic fracture patients with deep venous thrombosis of lower extremity: A single-center experience

Risk factors for inferior vena cava filter thrombosis in traumatic fracture patients with deep venous thrombosis of lower extremity: A single-center experience

Vena Cava Filter Use in Trauma and Rates of Pulmonary Embolism, 2003-2015

Deep venous thrombosis after orthopedic surgery in adult cancer patients

Contact Info

Product

Resources

About