Adams et al identified risk factors associated with a high risk of thromboembolic disease in a trauma patient. These can help identify a patient who may benefit from prophylactic therapy. The authors are from Memorial Health University Medical Center (MHUMC) in Savannah, Georgia.


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.


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