Related Experiment Video

Updated: Jul 4, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
06:45

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Published on: February 10, 2023

Determination of risk factors for deep venous thrombosis in hospitalized children

Lan T Vu1, Kerilyn K Nobuhara, Hanmin Lee

  • 1Division of Pediatric Surgery, Department of Surgery, University of California, Box 0570, San Francisco, CA 94143-0570, USA.

Journal of Pediatric Surgery
|June 19, 2008
PubMed

Insights

Deep venous thrombosis (DVT) in children has increased since 1997. Teenagers with underlying health conditions are most at risk for this condition.

Area of Science:

  • Pediatric Medicine
  • Vascular Health
  • Epidemiology

Background:

  • Deep venous thrombosis (DVT) is a serious condition that can affect children.
  • Understanding trends and risk factors for pediatric DVT is crucial for effective prevention and treatment.

Purpose of the Study:

  • To investigate the time trends in deep venous thrombosis (DVT) prevalence among pediatric inpatients.
  • To identify risk factors associated with DVT in hospitalized children.

Main Methods:

  • Cross-sectional study utilizing the Healthcare Cost and Utilization Project Kids' Inpatient Database (1997, 2000, 2003).
  • Analysis included pediatric inpatients aged 1-17 years hospitalized for at least 4 days.
  • Prevalence and adjusted prevalence ratios were calculated to assess trends and risk factors.

Main Results:

  • The prevalence of DVT in pediatric inpatients was 4.2 per 1000 discharges.
  • DVT prevalence significantly increased in 2000 and 2003 compared to 1997.
  • Highest risk was observed in adolescents (15-17 years) with obesity, inflammatory bowel disease, hematologic malignancy, or specific surgical procedures.

Conclusions:

  • A significant rise in the discharge diagnosis of lower extremity DVT has been observed since 1997.
  • Teenagers with comorbid conditions represent a high-risk group for DVT.
  • Further research into pediatric DVT prevention and management is warranted.
Abstract

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...