American Association for the Surgery of Trauma/American College of Surgeons Committee on Trauma clinical protocol for postdischarge venous thromboembolism prophylaxis after trauma

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

doi:10.1097/TA.0000000000004307

American Association for the Surgery of Trauma/American College of Surgeons Committee on Trauma clinical protocol for postdischarge venous thromboembolism prophylaxis after trauma

J Trauma Acute Care Surg. 2024 Jun 1;96(6):980-985. doi: 10.1097/TA.0000000000004307. Epub 2024 Mar 25.

Authors

Allison E Berndtson¹, Alisa Cross, Brian K Yorkgitis, Ryan Kennedy, Matthew P Kochuba, Christopher Tignanelli, Gail T Tominaga, David G Jacobs, Dennis W Ashley, Eric J Ley, Lena Napolitano, Todd W Costantini

Affiliation

¹ From the 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; University of Oklahoma Health Science Center (A.C.), Oklahoma City, Oklahoma; Division of Acute Care Surgery, Department of Surgery (B.K.Y., M.P.K.), University of Florida-Jacksonville, Jacksonville, Florida; Department of Surgery (R.K.), Baylor University Medical Center, Dallas, Texas; 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; Mercer University School of Medicine (D.W.A.), Atrium Health Navicent, Macon, Georgia; Cedars-Sinai Medical Center (E.J.L.), Los Angeles, California; and Trauma and Surgical Critical Care, Department of Surgery (L.N.), University of Michigan Health System, Ann Arbor, Michigan.

PMID: 38523134
DOI: 10.1097/TA.0000000000004307

Abstract

Trauma patients are at an elevated risk for developing venous thromboembolism (VTE), which includes pulmonary embolism and deep vein thrombosis. In the inpatient setting, prompt pharmacologic prophylaxis is utilized to prevent VTE. For patients with lower extremity fractures or limited mobility, VTE risk does not return to baseline levels postdischarge. Currently, there are limited data to guide postdischarge VTE prophylaxis in trauma patients. The goal of these postdischarge VTE prophylaxis guidelines are to identify patients at the highest risk of developing VTE after discharge and to offer pharmacologic prophylaxis strategies to limit this risk.

Publication types

Practice Guideline

MeSH terms

Anticoagulants* / administration & dosage
Anticoagulants* / therapeutic use
Clinical Protocols
Humans
Patient Discharge*
Pulmonary Embolism / etiology
Pulmonary Embolism / prevention & control
Risk Assessment
Risk Factors
Societies, Medical
United States
Venous Thromboembolism* / etiology
Venous Thromboembolism* / prevention & control
Wounds and Injuries* / complications
Wounds and Injuries* / surgery