The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.
Thromboembolism After Trauma: An Analysis of 1602 Episodes From the American College of Surgeons National Trauma Data Bank
Open accessAbstract
OBJECTIVE: Venous thromboembolic events (VTE) are potentially preventable causes of morbidity and mortality after injury. We hypothesized that the current clinical incidence of VTE is relatively low and that VTE risk factors could be identified. METHODS: We queried the ACS National Trauma Data Bank for episodes of deep venous thrombosis (DVT) and/or pulmonary embolism (PE). We examined demographic data, VTE risk factors, outcomes, and VTE prophylaxis measures in patients admitted to the 131 contributing trauma centers. RESULTS: From a total of 450,375 patients, 1602 (0.36%) had a VTE (998 DVT, 522 PE, 82 both), for an incidence of 0.36%. Ninety percent of patients with VTE had 1 of the 9 risk factors commonly associated with VTE. Six risk factors found to be independently significant in multivariate logistic regression for VTE were age > or = 40 years (odds ratio [OR] 2.01; 95% confidence interval [CI] 1.74 to 2.32), lower extremity fracture with AIS > or = 3 (OR 1.92; 95% CI 1.64 to 2.26), head injury with AIS > or = 3 (OR 1.24; 95% CI 1.05 to 1.46), ventilator days >3 (OR 8.08; 95% CI 6.86 to 9.52), venous injury (OR 3.56; 95% CI 2.22 to 5.72), and a major operative procedure (OR 1.53; 95% CI 1.30 to 1.80). Vena cava filters were placed in 3,883 patients, 86% as PE prophylaxis, including in 410 patients without an identifiable risk factor for VTE. CONCLUSIONS: Patients who need VTE prophylaxis after trauma can be identified based on risk factors. The use of prophylactic vena cava filters should be re-examined.
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Cites
Prevention of Venous Thromboembolism
Geerts, W. H., Heit, J. A., Clagett, G. P., Pineo, G. F., Colwell, C. W., Anderson, F. A., & Wheeler, H. B. (2001) · Chest · doi:10.1378/chest.119.1_suppl.132s · Cited by 4,373
A Prospective Study of Venous Thromboembolism after Major Trauma
Geerts, W. H., Code, K. I., Jay, R. M., Chen, E., & Szalai, J. P. (1994) · New England Journal of Medicine · doi:10.1056/nejm199412153312401 · Cited by 1,428
A Prospective Study of Venous Thromboembolism After Major Trauma
Hollingsworth-Fridlund, P., Geerts, W. H., Code, K. I., Jay, R. M., Chen, E., & Szalai, J. P. (1997) · Journal of Trauma Nursing · doi:10.1097/00043860-199710000-00006 · Cited by 1,131
Geerts, W. H., Jay, R. M., Code, K. I., Chen, E., Szalai, J. P., Saibil, E. A., & Hamilton, P. A. (1996) · New England Journal of Medicine · doi:10.1056/nejm199609053351003 · Cited by 808
Rogers, F. B., Cipolle, M. D., Velmahos, G., Rozycki, G., & Luchette, F. A. (2002) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/00005373-200207000-00032 · Cited by 713
Agnelli, G., Piovella, F., Buoncristiani, P., Severi, P., Pini, M., D'Angelo, A., Beltrametti, C., Damiani, M., Andrioli, G. C., Pugliese, R., et al. (1998) · New England Journal of Medicine · doi:10.1056/nejm199807093390204 · Cited by 523
Prevention of Venous Thromboembolism
Clagett, G. P., Anderson, F. A., Geerts, W., Heit, J. A., Knudson, M., Lieberman, J. R., Merli, G. J., & Wheeler, H. B. (1998) · Chest · doi:10.1378/chest.114.5_supplement.531s · Cited by 378
Self-citationUse of Low Molecular Weight Heparin in Preventing Thromboembolism in Trauma Patients
Knudson, M. M., Morabito, D., Paiement, G. D., & Shackleford, S. (1996) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/00005373-199609000-00010 · Cited by 273
Self-citationTwelve-year clinical experience with the Greenfield vena caval filter.
Greenfield, L. J., & Michna, B. A. (1988) · PubMed · Cited by 253
Venous thromboembolism in patients with major trauma
Shackford, S. R., Davis, J. W., Hollingsworth-Fridlund, P., Brewer, N. S., Hoyt, D. B., & Mackersie, R. C. (1990) · The American Journal of Surgery · doi:10.1016/s0002-9610(05)81272-3 · Cited by 229
Cited by
Adams, M., Fell, J., & Williams, A. (2009) · The Physician and Sportsmedicine · doi:10.3810/psm.2009.12.1750 · Cited by 9
Metadata
- Authors
- Knudson, M. M., Ikossi, D. G., Khaw, L., Morabito, D., & Speetzen, L. S.
- Venue
- Annals of Surgery
- Published
- 2004-09
- Volume
- 240
- Issue
- 3
- Pages
- 490-498
- ISSN
- 0003-4932 (ISSN-L)
- OpenAlex
- W2055698838
- Cited by
- 489
- References
- 17
- FWCI
- 8.10
- Type
- journal article
- Language
- en
- Open access
- green
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- Knudson, M. M., Ikossi, D. G., Khaw, L., Morabito, D., & Speetzen, L. S. (2004). Thromboembolism After Trauma: An Analysis of 1602 Episodes From the American College of Surgeons National Trauma Data Bank. Annals of Surgery. https://doi.org/10.1097/01.sla.0000137138.40116.6c
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