Deep Vein Thrombosis Prophylaxis in Trauma Patients
Joint Authors
Toker, Serdar
Morgan, Steven J.
Hak, David J.
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-05-15
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Deep vein thrombosis (DVT) and pulmonary embolism (PE) are known collectively as venous thromboembolism (VTE).
Venous thromboembolic events are common and potentially life-threatening complications following trauma with an incidence of 5 to 63%.
DVT prophylaxis is essential in the management of trauma patients.
Currently, the optimal VTE prophylaxis strategy for trauma patients is unknown.
Traditionally, pelvic and lower extremity fractures, head injury, and prolonged immobilization have been considered risk factors for VTE; however it is unclear which combination of risk factors defines a high-risk group.
Modalities available for trauma patient thromboprophylaxis are classified into pharmacologic anticoagulation, mechanical prophylaxis, and inferior vena cava (IVC) filters.
The available pharmacologic agents include low-dose heparin (LDH), low molecular weight heparin (LMWH), and factor Xa inhibitors.
Mechanical prophylaxis methods include graduated compression stockings (GCSs), pneumatic compression devices (PCDs), and A-V foot pumps.
IVCs are traditionally used in high risk patients in whom pharmacological prophylaxis is contraindicated.
Both EAST and ACCP guidelines recommend primary use of LMWHs in trauma patients; however there are still controversies regarding the definitive VTE prophylaxis in trauma patients.
Large randomized prospective clinical studies would be required to provide level I evidence to define the optimal VTE prophylaxis in trauma patients.
American Psychological Association (APA)
Toker, Serdar& Hak, David J.& Morgan, Steven J.. 2011. Deep Vein Thrombosis Prophylaxis in Trauma Patients. Thrombosis،Vol. 2011, no. 2011, pp.1-11.
https://search.emarefa.net/detail/BIM-476963
Modern Language Association (MLA)
Toker, Serdar…[et al.]. Deep Vein Thrombosis Prophylaxis in Trauma Patients. Thrombosis No. 2011 (2011), pp.1-11.
https://search.emarefa.net/detail/BIM-476963
American Medical Association (AMA)
Toker, Serdar& Hak, David J.& Morgan, Steven J.. Deep Vein Thrombosis Prophylaxis in Trauma Patients. Thrombosis. 2011. Vol. 2011, no. 2011, pp.1-11.
https://search.emarefa.net/detail/BIM-476963
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-476963