Abstract
Background: Recent studies have reported that placement of vena cava filters (VCFs) early after injury may decrease the incidence of pulmonary embolism (PE) in high-risk trauma patients. Study Design: This was a retrospective review of all trauma patients with placement of VCFs admitted to a single level-1 trauma center between 1989 and 1997. Two cohorts corresponding to years of high or low prophylactic VCF use (PVCF) were compared. Results: Records were reviewed for 299 trauma patients identified as having had placement of a VCE. Two hundred forty-eight filters were placed before the diagnosis of PE. During years of low PVCF use, the overall PE incidence was 0.31%; during years of high PVCF use, the incidence of PE was higher at 0.48% (p = 0.045, chi-square). Conclusions: Increased use of PVCFs failed to decrease the overall rate of PE in our trauma patient population.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 314-320 |
| Number of pages | 7 |
| Journal | Journal of the American College of Surgeons |
| Volume | 189 |
| Issue number | 3 |
| DOIs | |
| State | Published - Sep 1999 |
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ASJC Scopus subject areas
- Surgery
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Increased use of prophylactic vena cava filters in trauma patients failed to decrease overall incidence of pulmonary embolism. / McMurtry, Addison L.; Owings, John T; Anderson, John T; Battistella, Felix D.; Gosselin, Robert.
In: Journal of the American College of Surgeons, Vol. 189, No. 3, 09.1999, p. 314-320.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Increased use of prophylactic vena cava filters in trauma patients failed to decrease overall incidence of pulmonary embolism
AU - McMurtry, Addison L.
AU - Owings, John T
AU - Anderson, John T
AU - Battistella, Felix D.
AU - Gosselin, Robert
PY - 1999/9
Y1 - 1999/9
N2 - Background: Recent studies have reported that placement of vena cava filters (VCFs) early after injury may decrease the incidence of pulmonary embolism (PE) in high-risk trauma patients. Study Design: This was a retrospective review of all trauma patients with placement of VCFs admitted to a single level-1 trauma center between 1989 and 1997. Two cohorts corresponding to years of high or low prophylactic VCF use (PVCF) were compared. Results: Records were reviewed for 299 trauma patients identified as having had placement of a VCE. Two hundred forty-eight filters were placed before the diagnosis of PE. During years of low PVCF use, the overall PE incidence was 0.31%; during years of high PVCF use, the incidence of PE was higher at 0.48% (p = 0.045, chi-square). Conclusions: Increased use of PVCFs failed to decrease the overall rate of PE in our trauma patient population.
AB - Background: Recent studies have reported that placement of vena cava filters (VCFs) early after injury may decrease the incidence of pulmonary embolism (PE) in high-risk trauma patients. Study Design: This was a retrospective review of all trauma patients with placement of VCFs admitted to a single level-1 trauma center between 1989 and 1997. Two cohorts corresponding to years of high or low prophylactic VCF use (PVCF) were compared. Results: Records were reviewed for 299 trauma patients identified as having had placement of a VCE. Two hundred forty-eight filters were placed before the diagnosis of PE. During years of low PVCF use, the overall PE incidence was 0.31%; during years of high PVCF use, the incidence of PE was higher at 0.48% (p = 0.045, chi-square). Conclusions: Increased use of PVCFs failed to decrease the overall rate of PE in our trauma patient population.
UR - http://www.scopus.com/inward/record.url?scp=0032842644&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032842644&partnerID=8YFLogxK
U2 - 10.1016/S1072-7515(99)00137-4
DO - 10.1016/S1072-7515(99)00137-4
M3 - Article
C2 - 10472933
AN - SCOPUS:0032842644
VL - 189
SP - 314
EP - 320
JO - Journal of the American College of Surgeons
JF - Journal of the American College of Surgeons
SN - 1072-7515
IS - 3
ER -