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J Emerg Trauma Shock. 2019 Apr-Jun;12(2):150-154. doi: 10.4103/JETS.JETS_125_18.

WACEM Consensus Paper on Deep Venous Thrombosis after Traumatic Spinal Cord Injury.

Author information

1
Centro De Investigaciones Biomédicas, Cartagena Neurotrauma Research Group Research Line, Faculty of Medicine, University of Cartagena, Cartagena De Indias, Bogota, Colombia.
2
Department of Clinical Medicine, Weill Cornell Med College, Doha, Qatar.
3
Neurosurgery-Critical Care, Red Latino Organización Latinoamericana De Trauma Y Cuidado Neurointensivo, Bogota, Colombia.
4
Department of Emergency Medicine, Sarasota Memorial Hospital, Florida State University, Florida, USA.
5
Department of Community Medicine, MGM Medical College and LSK Hospital, Kishanganj, Bihar, India.
6
Department of Biochemistry, Medical College, College Street, Kolkata, India.
7
Department of Neurosurgery, Narayana Medical College Hospital, Nellore, Andhra Pradesh, India.

Abstract

The risk and outcome of deep vein thrombosis (DVT) in patients who sustained spinal cord injury (SCI) remain a challenge. We aimed to assess the incidence, risk, burden, and prophylaxis of DVT after SCI. Thirty-nine studies were identified from among 250 relevant articles based on firstly, broad criterion of DVT among SCI cases. secondly, "risk factors" impacting DVT, thirdly, published reports from apex bodies of global importance such as World Health Organization, Centre for disease control, Atlanta USA, and others were given due weightage for their authenticity. SCI is characterized by loss of motor, sensory, and autonomic function with partial or total damage of the anatomical structure leading to increased risk of thrombogenesis. SCIs present a higher risk of venous DVT constituting 9.7% of deaths in the 1st year of follow-up. Currently, prophylaxis with mechanical methods, vena cava filters and antithrombotic chemoprophylaxis in SCI are interventions for the management of DVT. DVT in SCI patients is not uncommon and needs a high index of suspicion and implementation of institutional prophylaxis protocol.

KEYWORDS:

Deep vein thrombosis; spinal cord injury; thromboembolism

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