Determining venous thromboembolic risk assessment for patients with trauma

• DOI: 10.1097/ta.0b013e3182588b54
• Publication Date: 2012-07-28T12:00:15Z
• Authors: Frederick B. Rogers; Steven R. Shackford; Michael A. Horst; Jo Ann Miller; Daniel Wu; Eric Bradburn; Amelia Rogers; Margaret Krasne
• Keywords: Univariate; Trauma Center; Univariate analysis

This study aimed to determine the relative "weight" of risk factors known be associated with venous thromboembolism (VTE) for patients trauma based on injuries and comorbidities.A retrospective review 16,608 consecutive admissions a center was performed. Patients were separated into those who developed VTE (n = 141) versus did not (16,467). Univariate analysis performed each factor reported in literature. Risk that shown significant (p < 0.05) by univariate underwent multivariate develop odds ratios VTE. The Trauma Embolic Scoring System (TESS) derived from coefficients. resulting TESS compared data set National Data Bank (2002-2006) its ability predict VTE.The demonstrated age, Injury Severity Score, obesity, ventilator use more than 3 days, lower-extremity predictors our patient population. 0 14, best prediction score 6 (sensitivity, 81.6%; specificity, 84%). Overall, model had excellent discrimination predicting receiver operating characteristic curve 0.89. rates similar all integers except 4, which significantly higher (3, 0.2% vs. 0.6%; 0.4% 1.0%).The provides an objective measure classifying trauma. could allow informed decision making regarding prophylaxis strategies