Increased use of prophylactic vena cava filters in trauma patients failed to decrease overall incidence of pulmonary embolism
| Autor: | Felix D. Battistella, John T. Anderson, John T. Owings, Addison L. McMurtry, Robert C. Gosselin |
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| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Vena Cava Filters Population Cohort Studies Injury Severity Score Risk Factors medicine Humans education Retrospective Studies Vena cava filters Retrospective review education.field_of_study Analysis of Variance Trauma patient Chi-Square Distribution business.industry Incidence (epidemiology) Incidence Trauma center Length of Stay Middle Aged medicine.disease Pulmonary embolism Surgery Wounds and Injuries Female business Pulmonary Embolism |
| Zdroj: | Journal of the American College of Surgeons. 189(3) |
| ISSN: | 1072-7515 |
| Popis: | Background: Recent studies have reported that placement of vena cava filters (VCFs) early after injury may decrease the incidence of pulmonary embolism (PE) in high-risk trauma patients. Study Design: This was a retrospective review of all trauma patients with placement of VCFs admitted to a single level-1 trauma center between 1989 and 1997. Two cohorts corresponding to years of high or low prophylactic VCF use (PVCF) were compared. Results: Records were reviewed for 299 trauma patients identified as having had placement of a VCF. Two hundred forty-eight filters were placed before the diagnosis of PE. During years of low PVCF use, the overall PE incidence was 0.31%; during years of high PVCF use, the incidence of PE was higher at 0.48% (p = 0.045, chi-square). Conclusions: Increased use of PVCFs failed to decrease the overall rate of PE in our trauma patient population. |
| Databáze: | OpenAIRE |
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