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Deep vein thrombosis in the disabled pediatric population
1Rehabilitation Institute of Chicago, Department of Rehabilitation Medicine, Northwestern University Medical School, Chicago, IL.
Archives of Physical Medicine and Rehabilitation
|March 1, 1994
Summary
Deep vein thrombosis (DVT) affects 2.2% of disabled children in rehabilitation centers. Spinal cord injuries are the most common risk factor, particularly in adolescents aged 15-18.
Area of Science:
- Pediatric Medicine
- Vascular Medicine
- Rehabilitation Medicine
Background:
- Deep vein thrombosis (DVT) is a serious condition rarely studied in disabled children.
- Understanding DVT incidence in pediatric rehabilitation is crucial for patient care.
Purpose of the Study:
- To determine the incidence of DVT in pediatric patients under 18 years old admitted to a rehabilitation center.
- To identify specific risk factors and patient groups within this population.
Main Methods:
- Retrospective chart review of 532 children admitted to a rehabilitation center between 1983 and 1987.
- Analysis of DVT incidence and associated diagnoses.
Main Results:
- Overall DVT incidence was 2.2% in the studied pediatric population.
- Spinal cord injuries (SCI) represented the largest group with DVT, with 10% incidence in SCI patients aged 15-18.
- Single cases of DVT were noted in children with meningoencephalitis, arteriovenous malformation, closed head injuries, and Guillain-Barré syndrome.
Conclusions:
- DVT is an important consideration in disabled pediatric populations within rehabilitation settings.
- Adolescents with spinal cord injuries are at a significantly higher risk for DVT.
- Further research into DVT treatment risks and recommendations is warranted.