American Association for the Surgery of Trauma/American College of Surgeons-Committee on Trauma Clinical Protocol for inpatient venous thromboembolism prophylaxis after trauma

Brian K Yorkgitis; Allison E Berndtson; Alisa Cross; Ryan Kennedy; Matthew P Kochuba; Christopher Tignanelli; Gail T Tominaga; David G Jacobs; William H Marx; Dennis W Ashley; Eric J Ley; Lena Napolitano; Todd W Costantini

doi:10.1097/TA.0000000000003475

American Association for the Surgery of Trauma/American College of Surgeons-Committee on Trauma Clinical Protocol for inpatient venous thromboembolism prophylaxis after trauma

J Trauma Acute Care Surg. 2022 Mar 1;92(3):597-604. doi: 10.1097/TA.0000000000003475.

Authors

Brian K Yorkgitis¹, Allison E Berndtson, Alisa Cross, Ryan Kennedy, Matthew P Kochuba, Christopher Tignanelli, Gail T Tominaga, David G Jacobs, William H Marx, Dennis W Ashley, Eric J Ley, Lena Napolitano, Todd W Costantini

Affiliation

¹ From the Division of Acute Care Surgery, Department of Surgery (B.K.Y., M.P.K.), University of Florida-Jacksonville, Jacksonville, Florida; Division of Trauma Surgical Critical Care, Burns and Acute Care Surgery, Department of Surgery (A.E.B., T.W.C.), UC San Diego School of Medicine, San Diego, California; Department of Surgery (A.C., R.K.), University of Oklahoma Health Science Center, Oklahoma City, Oklahoma; Department of Surgery (C.T.), University of Minnesota, Minneapolis, Minnesota; Trauma Services (G.T.T.), Scripps Memorial Hospital La Jolla, La Jolla, California; Division of Acute Care Surgery/Department of Surgery (D.G.J.), Atrium Health-Carolinas Medical Center, Charlotte, North Carolina; Division of Trauma and Acute Care Surgery (W.H.M.), Upstate Medical University, Syracuse, New York; Department of Surgery (D.W.A.), Mercer University School of Medicine, Atrium Health Navicent, Macon, Georgia; Department of Surgery (E.J.L.), Cedars-Sinai Medical Center, Los Angeles, California; and Trauma and Surgical Critical Care, Department of Surgery (L.N.), University of Michigan Health System, Ann Arbor, Michigan.

PMID: 34797813
DOI: 10.1097/TA.0000000000003475

Abstract

Abstract: Trauma patients are at increased risk of venous thromboembolism (VTE), which includes both deep vein thrombosis and pulmonary embolism. Pharmacologic VTE prophylaxis is a critical component of optimal trauma care that significantly decreases VTE risk. Optimal VTE prophylaxis protocols must manage the risk of VTE with the competing risk of hemorrhage in patients following significant trauma. Currently, there is variability in VTE prophylaxis protocols across trauma centers. In an attempt to optimize VTE prophylaxis for the injured patient, stakeholders from the American Association for the Surgery of Trauma and the American College of Surgeons-Committee on Trauma collaborated to develop a group of consensus recommendations as a resource for trauma centers. The primary goal of these recommendations is to help standardize VTE prophylaxis strategies for adult trauma patients (age ≥15 years) across all trauma centers. This clinical protocol has been developed to (1) provide standardized medication dosing for VTE prophylaxis in the injured patient; and (2) promote evidence-based, prompt VTE prophylaxis in common, high-risk traumatic injuries.

Level of evidence: Therapeutic/Care Management; Level V.

MeSH terms

Adolescent
Adult
Aged
Clinical Protocols*
Female
Humans
Male
Middle Aged
Societies, Medical
Trauma Centers
United States
Venous Thromboembolism / etiology*
Venous Thromboembolism / prevention & control*
Wounds and Injuries / complications*