Pediatric trauma venous thromboembolism prediction algorithm outperforms current anticoagulation prophylaxis guidelines: a pilot study.

ABSTRACT:

Purpose

Venous thromboembolism (VTE) in injured children is rare, but sequelae can be morbid and life-threatening. Recent trauma society guidelines suggesting that all children over 15 years old should receive thromboprophylaxis may result in overtreatment. We sought to evaluate the efficacy of a previously published VTE prediction algorithm and compare it to current recommendations.

Methods

Two institutional trauma registries were queried for all pediatric (age < 18 years) patients admitted from 2007 to 2018. Clinical data were applied to the algorithm and the area under the receiver operating characteristic (AUROC) curve was calculated to test algorithm efficacy.

Results

A retrospective review identified 8271 patients with 30 episodes of VTE (0.36%). The VTE predict

SUBMITTER: Cunningham AJ 

PROVIDER: S-EPMC7223182 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature