Abstract
Objective: To determine how soon after trauma pulmonary embolism (PE) occurs and if there is an association between the duration of this interval and mortality. Design: Retrospective case series. Patient: All patients admitted to our trauma service with established PE based on high probability findings on ventilation perfusion scan, positive results on a pulmonary arteriogram, or autopsy from July 1, 1990, to September 30, 1995. Main Outcome Measure: Time interval between injury and PE. Setting: Level I university trauma center. Results: Of 18 255 trauma patients identified, 63 met our criteria for PE (30 using a pulmonary arteriogram; 26, a ventilation perfusion scan; and 7, autopsy). Four patients (6%) had a documented PE on day 1 following injury. Mortality was not correlated with the interval between injury and PE. Of the 63 patients, 58 (92%) had 1 or more established risk factors for thromboembolism. The ratio of PaO 2 to fraction of inspired oxygen was the only factor predictive of mortality (P=.02, logistic regression analysis). Conclusions: Pulmonary embolism occurs in the immediate period following injury. Aggressive workup in patients with signs consistent with PE should be instituted promptly. Trauma patients who have at least 1 risk factor for thromboembolism should receive prophylaxis as soon after injury as possible.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 862-867 |
| Number of pages | 6 |
| Journal | Archives of Surgery |
| Volume | 132 |
| Issue number | 8 |
| State | Published - 1997 |
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ASJC Scopus subject areas
- Surgery
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Timing of the occurrence of pulmonary embolism in trauma patients. / Owings, John T; Kraut, Eric; Battistella, Felix; Cornelius, John T.; O'Malley, Robert.
In: Archives of Surgery, Vol. 132, No. 8, 1997, p. 862-867.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Timing of the occurrence of pulmonary embolism in trauma patients
AU - Owings, John T
AU - Kraut, Eric
AU - Battistella, Felix
AU - Cornelius, John T.
AU - O'Malley, Robert
PY - 1997
Y1 - 1997
N2 - Objective: To determine how soon after trauma pulmonary embolism (PE) occurs and if there is an association between the duration of this interval and mortality. Design: Retrospective case series. Patient: All patients admitted to our trauma service with established PE based on high probability findings on ventilation perfusion scan, positive results on a pulmonary arteriogram, or autopsy from July 1, 1990, to September 30, 1995. Main Outcome Measure: Time interval between injury and PE. Setting: Level I university trauma center. Results: Of 18 255 trauma patients identified, 63 met our criteria for PE (30 using a pulmonary arteriogram; 26, a ventilation perfusion scan; and 7, autopsy). Four patients (6%) had a documented PE on day 1 following injury. Mortality was not correlated with the interval between injury and PE. Of the 63 patients, 58 (92%) had 1 or more established risk factors for thromboembolism. The ratio of PaO 2 to fraction of inspired oxygen was the only factor predictive of mortality (P=.02, logistic regression analysis). Conclusions: Pulmonary embolism occurs in the immediate period following injury. Aggressive workup in patients with signs consistent with PE should be instituted promptly. Trauma patients who have at least 1 risk factor for thromboembolism should receive prophylaxis as soon after injury as possible.
AB - Objective: To determine how soon after trauma pulmonary embolism (PE) occurs and if there is an association between the duration of this interval and mortality. Design: Retrospective case series. Patient: All patients admitted to our trauma service with established PE based on high probability findings on ventilation perfusion scan, positive results on a pulmonary arteriogram, or autopsy from July 1, 1990, to September 30, 1995. Main Outcome Measure: Time interval between injury and PE. Setting: Level I university trauma center. Results: Of 18 255 trauma patients identified, 63 met our criteria for PE (30 using a pulmonary arteriogram; 26, a ventilation perfusion scan; and 7, autopsy). Four patients (6%) had a documented PE on day 1 following injury. Mortality was not correlated with the interval between injury and PE. Of the 63 patients, 58 (92%) had 1 or more established risk factors for thromboembolism. The ratio of PaO 2 to fraction of inspired oxygen was the only factor predictive of mortality (P=.02, logistic regression analysis). Conclusions: Pulmonary embolism occurs in the immediate period following injury. Aggressive workup in patients with signs consistent with PE should be instituted promptly. Trauma patients who have at least 1 risk factor for thromboembolism should receive prophylaxis as soon after injury as possible.
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UR - http://www.scopus.com/inward/citedby.url?scp=0030800367&partnerID=8YFLogxK
M3 - Article
C2 - 9267270
AN - SCOPUS:0030800367
VL - 132
SP - 862
EP - 867
JO - JAMA Surgery
JF - JAMA Surgery
SN - 2168-6254
IS - 8
ER -