Risk Factors of Adams et al for Thromboembolic Disease in a Patient Following Trauma

 

Patient selection: major trauma

 

Factors indicating a high risk for thromboembolic disease:

(1) age > 60 years

(2) time for surgery > 4 hours

(3) non-ambulatory status

(4) morbid obesity

(5) history of venous thromboembolism

(6) transfusion of >= 4 units of packed red blood cells

(7) severe closed head injury with a Glasgow coma score <= 8 for >= 4 hours

(8) pelvic fracture

(9) severe fractures of the lower extremities

(10) spinal cord injury

(11) severe vertebral fracture(s) requiring immobilization > 24 hours

 

A low risk patient would be negative for all of these factors.