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Published on: February 10, 2023
Venous thromboembolism in the paediatric patient
D Kelleher1, J Shalhoub, A H Davies
1Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, Charing Cross Hospital, Fulham Palace Road, London, UK.
Insights
Pediatric venous thromboembolism (VTE) incidence is rising, presenting subtle symptoms requiring high suspicion. Anticoagulation in children is challenging due to their unique physiology.
Area of Science:
- Pediatric Hematology
- Vascular Medicine
Background:
- Venous thromboembolism (VTE) is an increasing concern in pediatric populations.
- Subtle signs and symptoms necessitate a high index of clinical suspicion for timely diagnosis.
Purpose of the Study:
- To highlight the challenges in diagnosing and managing pediatric venous thromboembolism.
- To emphasize the unique physiological considerations for anticoagulation in children.
Main Methods:
- Review of current literature on pediatric VTE.
- Analysis of diagnostic challenges and treatment strategies.
Main Results:
- Pediatric VTE incidence is reportedly increasing.
- Early recognition is crucial due to often subtle clinical presentations.
- Anticoagulation presents unique difficulties in pediatric patients.
Conclusions:
- Increased vigilance for VTE in children is warranted.
- Pediatric-specific approaches are essential for effective anticoagulation therapy.
Abstract:
Venous thromboembolism is a concern in the paediatric population and its incidence seems to be increasing. Symptoms and signs may be subtle so a high degree of suspicion is needed. Paediatric patients represent a unique challenge in the provision of anticoagulation due to their unique physiology.
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