Risk factors for venous thromboembolism in pediatric trauma

被引:78
作者
Vavilala, MS
Nathens, AB
Jurkovich, GJ
Mackenzie, E
Rivara, FP
机构
[1] Univ Washington, Dept Anesthesiol, Harborview Injury Prevent & Res Ctr, Seattle, WA 98195 USA
[2] Univ Washington, Dept Surg, Harborview Injury Prevent & Res Ctr, Seattle, WA 98195 USA
[3] Univ Washington, Dept Pediat, Harborview Injury Prevent & Res Ctr, Seattle, WA 98195 USA
[4] Johns Hopkins Univ, Injury Res & Policy Ctr, Baltimore, MD USA
来源
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 2002年 / 52卷 / 05期
关键词
deep venous thrombosis; pulmonary embolus; pediatric trauma;
D O I
10.1097/00005373-200205000-00017
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background. Venous thromboembolism (VTE) is a major source of morbidity in critically ill trauma patients. Although the incidence and risk factors for VTE after trauma in adults have been well described, similar data regarding pediatric patients are lacking. Methods. Pediatric (age < 16 years) trauma patients with VTE were identified from a large administrative database collated from 19 states across the United States. Risk factors for VTE were identified using multivariate techniques. Results: Risk of VTE increased with age and Injury Severity Scores. VTE was clearly associated with head, thoracic, abdominal, lower extremity, and spinal injuries. Craniotomy, laparotomy, and spinal operations were also associated with VTE. The greatest risk of VTE was in children with venous catheters. Conclusion: Older children with high Injury Severity Scores, major vascular injury, craniotomy, or venous catheters are at risk for VTE. These data may help guide strategies geared toward screening and prophylaxis in injured children.
引用
收藏
页码:922 / 927
页数:6
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