Journal article
The prevalence of venous thromboembolism of the lower extremity among thermally injured patients determined by duplex sonography
The Journal of trauma, injury, infection, and critical care, Vol.55(6), pp.1162-1167
2003
DOI: 10.1097/01.TA.0000057149.42968.1D
PMID: 14676666
Abstract
Background Morbidity and mortality from venous thromboembolism (VTE) remains a significant problem for hospitalized patients. Despite the ample prospective literature defining the prevalence of VTE in hospitalized patient populations, the prevalence of VTE in the thermally injured population remains largely unknown. Methods We prospectively studied 148 thermally injured patients with hospital stays of greater than 3 days with lower extremity duplex ultrasonograms obtained at admission and discharge. Results Nine patients experienced VTE (6.08%). Eight of the nine deep venous thromboses were proximal. One of the two pulmonary embolisms was fatal. Treatment risk factors that were associated with VTE were the presence of a central venous line (p = 0.020) and transfusion of more than 4 units of packed red blood cells (p = 0.023). These treatment factors were significantly related to each other (p < 0.0001), to body surface area burned, and to intervention. Conclusion The prevalence of VTE in burn patients is similar to that of moderate- to high-risk general surgical patients for whom VTE prophylaxis is recommended. VTE prophylaxis of burn patients, especially those requiring central venous lines and more than 4 units of packed red blood cells, should be considered. © 2003 Lippincott Williams and Wilkins, Inc.
Details
- Title: Subtitle
- The prevalence of venous thromboembolism of the lower extremity among thermally injured patients determined by duplex sonography
- Creators
- Lucy A Wibbenmeyer - University of IowaJ. J Hoballah - University of IowaM. J Amelon - Department of Surgery, University of Iowa College of Medicine, Iowa City, Iowa, United StatesP. X Chang - Department of Surgery, University of Iowa College of Medicine, Iowa City, Iowa, United StatesR. M DE MOLA - Chicago College of Osteopathic Medicine at Midwestern University, Downers Grove, Illinois, United StatesR. D Lewis - University of IowaB Warner - Department of Surgery, University of Iowa College of Medicine, Iowa City, Iowa, United StatesG. P Kealey - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The Journal of trauma, injury, infection, and critical care, Vol.55(6), pp.1162-1167
- DOI
- 10.1097/01.TA.0000057149.42968.1D
- PMID
- 14676666
- NLM abbreviation
- J Trauma
- ISSN
- 1079-6061
- eISSN
- 1529-8809
- Publisher
- Lippincott Williams & Wilkins
- Language
- English
- Date published
- 2003
- Academic Unit
- Surgery; Injury Prevention Research Center
- Record Identifier
- 9984322930602771
Metrics
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