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Deep venous thrombosis in the trauma patient
The American Surgeon
|June 1, 1994
Summary
Deep venous thrombosis (DVT) affects 15% of trauma patients. High Injury Severity Scores and extremity injuries increase DVT risk in trauma survivors.
Area of Science:
- Trauma Surgery
- Vascular Medicine
- Thrombosis Research
Background:
- Deep venous thrombosis (DVT) is a significant concern in trauma patients.
- Risk factors and incidence of DVT in this population are not fully understood.
Purpose of the Study:
- To prospectively determine the incidence of DVT in trauma patients.
- To identify risk factors associated with DVT development in trauma survivors.
Main Methods:
- Prospective study of 100 trauma patients admitted to a Level I trauma center.
- Utilized duplex scans throughout hospitalization to detect DVT.
- Analyzed patient demographics, injury severity, and prophylactic treatments.
Main Results:
- Fifteen percent (15%) of trauma patients developed DVT.
- Patients with high Injury Severity Scores and extremity injuries were at higher risk.
- Prophylactic heparin treatment was administered to a majority of patients, including those who developed DVT.
Conclusions:
- The incidence of DVT in trauma patients is 15%.
- High Injury Severity Scores and extremity trauma are key risk factors for DVT.
- Further research is needed to optimize DVT prophylaxis in high-risk trauma patients.