Incidence of venous thromboembolism in patients with traumatic brain injury

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• 作者：Kent Denson ; Daniel Morgan ; Rob Cunningham ; Anthony Nigliazzo ; Daniel Brackett ; Mary Lane ; Brenda Smith ; Roxie Albrecht
• 关键词：Venous thromboembolism ; Intraparenchymal hemorrhage ; Trauma ; Prophylaxis
• 刊名：The American Journal of Surgery
• 出版年：2007
• 期刊代码：9_00029610
• 类别：med
• 出版时间：March 2007
• 卷：193
• 期：3
• 页码：380-384
• 文件大小：66 K

摘要

>Background

Traumatic brain injury (TBI) may be a risk factor for venous thromboembolism (VTE). This study was designed to review the incidence of VTE in critically injured patients with an isolated TBI using a standardized venous duplex color-flow Doppler imaging program and to compare it with the overall and high-risk trauma populations.

Methods

Trauma patients who underwent lower-extremity surveillance color-flow Doppler imaging for VTE were identified. Analyses included patient demographics, characteristics of TBI, VTE risk factors, prophylaxis, incidence, location, and patient outcome.

Results

A total of 5,787 patients were admitted during the study period. Of these, 539 (9%) were deemed high risk for VTE. The incidence of VTE in patients with isolated TBI (88, 16%) was 25%. All patients and the high-risk population had incidences of 2%and 17%, respectively.

Conclusions

The incidence of VTE in isolated TBI is greatest in patients with intraparenchymal hemorrhage. Early VTE prophylaxis is warranted in TBI patients.