Updated guidelines to reduce venous thromboembolism in trauma patients: A Western Trauma Association critical decisions algorithm

被引：168

作者：

Ley, Eric J. ^{[1
]}

Brown, Carlos V. R. ^{[2
]}

Moore, Ernest E. ^{[3
]}

Sava, Jack A. ^{[4
]}

Peck, Kimberly ^{[5
]}

Ciesla, David J. ^{[6
]}

Sperry, Jason L. ^{[7
]}

Rizzo, Anne G. ^{[8
]}

Rosen, Nelson G. ^{[9
]}

Brasel, Karen J. ^{[10
]}

Kozar, Rosemary ^{[11
]}

Inaba, Kenji ^{[12
]}

Martin, Matthew J. ^{[5
]}

机构：

[1] Cedars Sinai Med Ctr, Dept Surg, 8635 W 3rd St,Suite 650W, Los Angeles, CA 90048 USA

[2] Univ Texas Austin, Dell Med Sch, Austin, TX 78712 USA

[3] Ernest E Moore Shock Trauma Ctr, Denver, CO USA

[4] MedStar Hosp Ctr, Washington, DC USA

[5] Scripps Mercy Hosp, San Diego, CA USA

[6] Morsani Coll Med, Tampa, FL USA

[7] Univ Pittsburgh, Pittsburgh, PA USA

[8] Inova Trauma Ctr, Falls Church, VA USA

[9] Childrens Hosp, Cincinnati, OH 45229 USA

[10] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[11] Univ Maryland, Sch Med, Baltimore, MD 21201 USA

[12] Keck Sch Med, Los Angeles, CA USA

来源：

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY | 2020年 / 89卷 / 05期

关键词：

MOLECULAR-WEIGHT-HEPARIN; ED AMERICAN-COLLEGE; DEEP-VEIN THROMBOSIS; INTERMITTENT PNEUMATIC COMPRESSION; PATIENTS ANTITHROMBOTIC THERAPY; RANDOMIZED CONTROLLED-TRIAL; INDUCED THROMBOCYTOPENIA; UNFRACTIONATED HEPARIN; PULMONARY-EMBOLISM; REGIONAL ANESTHESIA;

D O I：

10.1097/TA.0000000000002830

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

This algorithm was designed to provide comprehensive and clear guidance aimed at reducing the VTE rate after trauma. Although there are multiple factors that will lead to deviations from the presented algorithm, most trauma patients should be initiated on early and higher doses of enoxaparin that often should be adjusted by anti-Xa levels. For most trauma patients, pharmacologic prophylaxis should continue uninterrupted throughout the hospital stay and at times after discharge. Avoiding preventable and non–evidence-based delays to the initiation and missed doses of pharmacologic prophylaxis should be a best-practice focus of all trauma centers, and it has clearly been associated with decreased rates of VTE events. © Wolters Kluwer Health, Inc. All rights reserved.

引用

页码：971 / 981

页数：11

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