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Thrombotic disease in critically ill children

Michael C McCrory1, Kenneth M Brady, Clifford Takemoto

  • 1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Hospital, Baltimore, MD, USA.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|February 16, 2010
PubMed

Insights

Pediatric thromboembolic disease, including arterial and venous thromboembolism, requires greater awareness. Improved recognition and management of deep venous thrombosis and pulmonary embolism in critically ill children can enhance outcomes.

Area of Science:

  • Pediatric critical care medicine
  • Hematology
  • Vascular medicine

Background:

  • Thromboembolic disease, encompassing arterial and venous thromboembolism, deep venous thrombosis, and pulmonary embolism, presents significant risks in children.
  • Risk factors for thrombosis are particularly concerning in the pediatric intensive care unit (PICU) setting.

Purpose of the Study:

  • To review the epidemiology of pediatric thromboembolic events.
  • To identify risk factors for thrombosis in critically ill children.
  • To summarize diagnostic techniques and current management/prevention strategies for pediatric thromboembolic disease.

Main Methods:

  • Comprehensive literature review utilizing PubMed with keywords related to thromboembolism.
  • Inclusion of both pediatric and adult studies, with a focus on critically ill patients.
  • Synthesis of available data, including adult and institutional experience, due to limited pediatric-specific research.

Main Results:

  • Data on pediatric thromboembolism, including epidemiology and risk factors, were compiled.
  • Diagnostic modalities for arterial/venous thromboembolism were assessed.
  • Current recommendations for management and prevention were summarized, often referencing adult data when pediatric data were scarce.

Conclusions:

  • There is a critical need to increase awareness among pediatric intensivists regarding the recognition and management of thromboembolic disease in children.
  • Enhanced understanding and timely intervention are essential to improve outcomes for life-threatening thromboembolic events in critically ill children.
Abstract

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