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Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava
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Published on: January 13, 2023

Trends in vena caval interruption.

Phillip S Moore1, Jeanette S Andrews, Timothy E Craven

  • 1Department of Vascular and Endovascular Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1095, USA.

Journal of Vascular Surgery
|March 23, 2010
PubMed
Summary
This summary is machine-generated.

Vena cava filter (VCF) use increased significantly from 1998 to 2005, with prophylactic VCF placement rising faster than those for deep venous thrombosis or pulmonary embolus. This trend was notable in patients with morbid obesity and head injuries.

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Area of Science:

  • Vascular Surgery
  • Health Services Research
  • Medical Device Utilization

Background:

  • Vena cava filters (VCFs) are used to prevent pulmonary emboli.
  • Understanding national trends in VCF utilization is crucial for patient care and resource allocation.
  • Previous studies have not fully characterized the evolving patterns of VCF use, particularly prophylactic placement.

Purpose of the Study:

  • To examine the national trends in vena cava filter (VCF) utilization between 1998 and 2005.
  • To differentiate the rates of prophylactic VCF placement from those indicated for deep venous thrombosis (DVT) or pulmonary embolus (PE).
  • To identify specific patient populations or conditions associated with significant changes in VCF use.

Main Methods:

  • Utilized complex survey methods on Nationwide Inpatient Sample (NIS) hospital discharge data.
  • Analyzed VCF placement data from 1998 to 2005.
  • Defined prophylactic VCF placement as use without a diagnosis of DVT or PE.

Main Results:

  • Hospitalizations for DVT and PE showed significant annual increases during the study period.
  • Overall VCF placement increased by 80%, from 52,860 in 1998 to 104,114 in 2005.
  • Prophylactic VCF placement increased by 157%, substantially outpacing the 42% increase for VCFs used in the setting of DVT or PE (P < .01).
  • Significant increases in prophylactic VCF use were observed in patients with morbid obesity and head injuries.

Conclusions:

  • National VCF use, particularly prophylactic placement, rose significantly between 1998 and 2005.
  • The rate of prophylactic VCF placement escalated more rapidly than for indicated use (DVT/PE).
  • Morbid obesity and head injury emerged as specific conditions with notable increases in prophylactic VCF utilization.