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Venous Thromboembolism Prevention in Trauma: Can We Do Better?

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Venous Thromboembolism Prevention in Trauma: Can We Do Better?
AAST Grand Round, October 21, 2015

Presented by:
Dr. Elliott R. Haut, The Johns Hopkins University, Baltimore, Maryland

Moderated by:
Dr. Martin Schreiber, Oregon Health and Science University, Portland, Oregon


Referenced in presentation:

Platelets are dominant contributors to hypercoagulability after injury.
Harr JN, Moore EE, Chin TL, Ghasabyan A, Gonzalez E, Wohlauer MV, Banerjee A, Silliman CC, Sauaia A.
J Trauma Acute Care Surg. 2013 Mar;74(3):756-62; discussion 762-5.

Admission rapid thrombelastography predicts development of pulmonary embolism in trauma patients.
Cotton BA, Minei KM, Radwan ZA, Matijevic N, Pivalizza E, Podbielski J, Wade CE, Kozar RA, Holcomb JB.
J Trauma Acute Care Surg. 2012 Jun;72(6):1470-5; discussion 1475-7.

Improved recovery of prophylactic inferior vena cava filters in trauma patients: the results of a dedicated filter registry and critical pathway for filter removal.
Rogers FB, Shackford SR, Miller JA, Wu D, Rogers A, Gambler A.
J Trauma Acute Care Surg. 2012 Feb;72(2):381-4.

Duplex ultrasound screening for deep vein thrombosis in asymptomatic trauma patients: a survey of individual trauma surgeon opinions and current trauma center practices.
Haut ER, Schneider EB, Patel A, Streiff MB, Haider AH, Stevens KA, Chang DC, Neal ML, Hoeft C, Nathens AB, et al.
J Trauma. 2011 Jan;70(1):27-33; discussion 33-4.

Thrombelastography versus AntiFactor Xa levels in the assessment of prophylactic-dose enoxaparin in critically ill patients.
Van PY, Cho SD, Underwood SJ, Morris MS, Watters JM, Schreiber MA.
J Trauma. 2009 Jun;66(6):1509-15; discussion 1515-7.

Predictors of posttraumatic deep vein thrombosis (DVT): hospital practice versus patient factors-an analysis of the National Trauma Data Bank (NTDB).
Haut ER, Chang DC, Pierce CA, Colantuoni E, Efron DT, Haider AH, Cornwell EE 3rd, Pronovost PJ.
J Trauma. 2009 Apr;66(4):994-9; discussion 999-1001.

Surveillance bias and deep vein thrombosis in the national trauma data bank: the more we look, the more we find.
Pierce CA, Haut ER, Kardooni S, Chang DC, Efron DT, Haider A, Pronovost PJ, Cornwell EE 3rd.
J Trauma. 2008 Apr;64(4):932-6; discussion 936-7.

Hazards of benchmarking complications with the National Trauma Data Bank: numerators in search of denominators.
Kardooni S, Haut ER, Chang DC, Pierce CA, Efron DT, Haider AH, Pronovost PJ, Cornwell EE 3rd..
J Trauma. 2008 Feb;64(2):273-7; discussion 277-9.

Can increased incidence of deep vein thrombosis (DVT) be used as a marker of quality of care in the absence of standardized screening? The potential effect of surveillance bias on reported DVT rates after trauma.
Haut ER, Noll K, Efron DT, Berenholz SM, Haider A, Cornwell EE 3rd, Pronovost PJ.
J Trauma. 2007 Nov;63(5):1132-5; discussion 1135-7.

Practice patterns and outcomes of retrievable vena cava filters in trauma patients: an AAST multicenter study.
Karmy-Jones R, Jurkovich GJ, Velmahos GC, Burdick T, Spaniolas K, Todd SR, McNally M, Jacoby RC, Link D, Janczyk RJ, et al.
J Trauma. 2007 Jan;62(1):17-24; discussion 24-5.

Practice management guidelines for the prevention of venous thromboembolism in trauma patients: the EAST practice management guidelines work group.
Rogers FB, Cipolle MD, Velmahos G, Rozycki G, Luchette FA..
J Trauma. 2002 Jul;53(1):142-64.