转移创伤患者的静脉血栓塞栓症:一个全球性问题
Brianna L Collie1, Luciana Tito Bustillos1, Nicole B Lyons2
1Dewitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, and Ryder Trauma Center, Miami, FL.
Surgery
|December 27, 2024
概括
国际转移的创伤患者在抵达时出现6-8%的静脉血栓栓塞 (VTE) 发病率. 建议对这些高风险患者进行早期风险分层和查成像.
科学领域:
- 创伤外科手术是什么
- 血管医学是一种血管医学.
- 紧急医疗 紧急医疗
背景情况:
- 航空旅行和不运动是已知的静脉血栓塞栓症 (VTE) 的危险因素.
- 国际创伤转移涉及长时间的旅行,可能增加VTE风险.
研究的目的:
- 在国际转移的创伤患者到达时调查VTE的发病率.
- 为了测试这种特定患者群体中高VTE发病率的假设.
主要方法:
- 对前性维护的国际创伤转移登记册的回顾性审查 (2023年1月至2024年6月).
- 纳入标准:患者在到达时接受了下肢静脉双重超声或对比度增强的胸部CT.
- 主要结局:诊断VTE (深静脉血栓或肺栓塞).
主要成果:
- 分析了161名患者,93%接受了查超声波,52%进行了胸部CT.
- 深静脉血栓的发生率为6%;肺栓塞的发生率为8.3%.
- 较高的格林菲尔德风险得分与静脉瘤存在相关 (P < .05).
结论:
- 这项研究是第一个报告国际创伤转移到达VTE发生率为6-8%的研究.
- 建议在转移中心进行血栓预防的风险分层.
- 倡导在接收中心入院时进行查超声波和CT扫描.
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