Venous thromboembolism prophylaxis in the pediatric trauma patient

被引：18

作者：

Petty, John K. ^{[1
]}

机构：

[1] Wake Forest Sch Med, Med Ctr Blvd, Dept Gen Surg, Pediat Surg Sect, Winston Salem, NC 27157 USA

来源：

SEMINARS IN PEDIATRIC SURGERY | 2017年 / 26卷 / 01期

关键词：

Venous thromboembolism; Pediatric; Trauma; Deep venous thrombosis; Pulmonary embolism; Prevention; MOLECULAR-WEIGHT HEPARINS; ED AMERICAN-COLLEGE; RISK-FACTORS; PULMONARY-EMBOLISM; ANTITHROMBOTIC THERAPY; CHILDREN; PREVENTION; THROMBOSIS; INJURY; SAFETY;

D O I：

10.1053/j.sempedsurg.2017.01.001

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Although venous thromboembolism (WE) occurs in less than 1% of hospitalized pediatric trauma patients, care providers must make decisions about VTE prophylaxis on a daily basis. The consequences of VTE are significant; the risks of developing WE are variable; and the effectiveness of prophylaxis against VTE is not conclusive in children. While the value of VTE prophylaxis is well defined in adult trauma care, it is unclear how this translates to the care of injured children. This review evaluates the incidence and risks of VTE in pediatric trauma and assesses the merits of prophylaxis in children. Pharmacologic prophylaxis against VTE is a reasonable strategy in critically injured adolescent trauma patients. Further study is needed to establish the risks and benefits of VTE prophylaxis across the spectrum of injured children. (C) 2017 Elsevier Inc. All rights reserved.

引用

页码：14 / 20

页数：7

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