Deep venous thrombosis in the pediatric trauma population

An unusual event: Report of three cases

Oscar Grandas, Melinda Klar, Mitchell Goldman, Howard C. Filston

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

The incidence of deep venous thrombosis (DVT) in the pediatric population has been reported to be lower than in adults. Pediatric trauma patients have predisposing risk factors for DVT similar to those in the general trauma population. We reviewed the records of 2746 children under 16 years of age admitted to our Level I pediatric trauma service from 1989 to 1997. Only three cases of DVT were documented, all adolescents. DVT was located in the upper (n = 1) and lower (n = 1) extremity venous system. One patient presented with pulmonary embolism alone without identifiable DVT. Risk factors found were venous system manipulations, including atriocaval shunt, subclavian central line, and hyperinflated medical antishock trousers garment. Therapy consisted of heparin followed by warfarin anticoagulation. A vena cava filter was inserted in one patient for whom systemic anticoagulation was contraindicated. No DVT was seen in 1123 closed head injury patients or 29 spinal cord injury patients without associated risk factors. The thrombotic risk in pediatric trauma patients is low. Routine screening or prophylaxis is not indicated except for patients who are likely to remain immobile for an extended period Of time and require prolonged rehabilitation, have venous manipulations, or present with clinical symptoms. Hematologic evaluation in patients with diagnosed DVT is necessary to identify individual risk factors.

Original languageEnglish (US)
Pages (from-to)273-276
Number of pages4
JournalAmerican Surgeon
Volume66
Issue number3
StatePublished - Mar 2000

Fingerprint

Venous Thrombosis
Pediatrics
Wounds and Injuries
Population
Gravity Suits
Vena Cava Filters
Closed Head Injuries
Clothing
Warfarin
Pulmonary Embolism
Spinal Cord Injuries
Causality
Heparin
Rehabilitation
Extremities
Incidence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Deep venous thrombosis in the pediatric trauma population : An unusual event: Report of three cases. / Grandas, Oscar; Klar, Melinda; Goldman, Mitchell; Filston, Howard C.

In: American Surgeon, Vol. 66, No. 3, 03.2000, p. 273-276.

Research output: Contribution to journalArticle

@article{666fc47c709c4a70ae3d6389286b9561,
title = "Deep venous thrombosis in the pediatric trauma population: An unusual event: Report of three cases",
abstract = "The incidence of deep venous thrombosis (DVT) in the pediatric population has been reported to be lower than in adults. Pediatric trauma patients have predisposing risk factors for DVT similar to those in the general trauma population. We reviewed the records of 2746 children under 16 years of age admitted to our Level I pediatric trauma service from 1989 to 1997. Only three cases of DVT were documented, all adolescents. DVT was located in the upper (n = 1) and lower (n = 1) extremity venous system. One patient presented with pulmonary embolism alone without identifiable DVT. Risk factors found were venous system manipulations, including atriocaval shunt, subclavian central line, and hyperinflated medical antishock trousers garment. Therapy consisted of heparin followed by warfarin anticoagulation. A vena cava filter was inserted in one patient for whom systemic anticoagulation was contraindicated. No DVT was seen in 1123 closed head injury patients or 29 spinal cord injury patients without associated risk factors. The thrombotic risk in pediatric trauma patients is low. Routine screening or prophylaxis is not indicated except for patients who are likely to remain immobile for an extended period Of time and require prolonged rehabilitation, have venous manipulations, or present with clinical symptoms. Hematologic evaluation in patients with diagnosed DVT is necessary to identify individual risk factors.",
author = "Oscar Grandas and Melinda Klar and Mitchell Goldman and Filston, {Howard C.}",
year = "2000",
month = "3",
language = "English (US)",
volume = "66",
pages = "273--276",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "3",

}

TY - JOUR

T1 - Deep venous thrombosis in the pediatric trauma population

T2 - An unusual event: Report of three cases

AU - Grandas, Oscar

AU - Klar, Melinda

AU - Goldman, Mitchell

AU - Filston, Howard C.

PY - 2000/3

Y1 - 2000/3

N2 - The incidence of deep venous thrombosis (DVT) in the pediatric population has been reported to be lower than in adults. Pediatric trauma patients have predisposing risk factors for DVT similar to those in the general trauma population. We reviewed the records of 2746 children under 16 years of age admitted to our Level I pediatric trauma service from 1989 to 1997. Only three cases of DVT were documented, all adolescents. DVT was located in the upper (n = 1) and lower (n = 1) extremity venous system. One patient presented with pulmonary embolism alone without identifiable DVT. Risk factors found were venous system manipulations, including atriocaval shunt, subclavian central line, and hyperinflated medical antishock trousers garment. Therapy consisted of heparin followed by warfarin anticoagulation. A vena cava filter was inserted in one patient for whom systemic anticoagulation was contraindicated. No DVT was seen in 1123 closed head injury patients or 29 spinal cord injury patients without associated risk factors. The thrombotic risk in pediatric trauma patients is low. Routine screening or prophylaxis is not indicated except for patients who are likely to remain immobile for an extended period Of time and require prolonged rehabilitation, have venous manipulations, or present with clinical symptoms. Hematologic evaluation in patients with diagnosed DVT is necessary to identify individual risk factors.

AB - The incidence of deep venous thrombosis (DVT) in the pediatric population has been reported to be lower than in adults. Pediatric trauma patients have predisposing risk factors for DVT similar to those in the general trauma population. We reviewed the records of 2746 children under 16 years of age admitted to our Level I pediatric trauma service from 1989 to 1997. Only three cases of DVT were documented, all adolescents. DVT was located in the upper (n = 1) and lower (n = 1) extremity venous system. One patient presented with pulmonary embolism alone without identifiable DVT. Risk factors found were venous system manipulations, including atriocaval shunt, subclavian central line, and hyperinflated medical antishock trousers garment. Therapy consisted of heparin followed by warfarin anticoagulation. A vena cava filter was inserted in one patient for whom systemic anticoagulation was contraindicated. No DVT was seen in 1123 closed head injury patients or 29 spinal cord injury patients without associated risk factors. The thrombotic risk in pediatric trauma patients is low. Routine screening or prophylaxis is not indicated except for patients who are likely to remain immobile for an extended period Of time and require prolonged rehabilitation, have venous manipulations, or present with clinical symptoms. Hematologic evaluation in patients with diagnosed DVT is necessary to identify individual risk factors.

UR - http://www.scopus.com/inward/record.url?scp=0034115490&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034115490&partnerID=8YFLogxK

M3 - Article

VL - 66

SP - 273

EP - 276

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 3

ER -