The objective of this study was to determine the prevalence of chronic DVT in hospitalized trauma patients | Journal of Trauma and Acute Care Surgery
Deep venous thrombosis (DVT) is considered a preventable complication in trauma patients. Hospitals risk financial penalties for DVT rates above accepted benchmarks. These penalties do not apply to chronic DVT which develop prior to admission. Lower-extremity duplex ultrasound (LEDUS) can detect characteristics of thrombus chronicity, allowing differentiation of chronic from acute DVT.
LEDUS can identify chronic DVT, which represents nearly 30% of all DVT found on initial screening LEDUS in trauma patients. Those with chronic DVT should receive pharmacologic and mechanical prophylaxis because of the incidence of progression and new acute DVT. They should also be counseled regarding the possibilities of recurrence and chronic venous insufficiency.
Full reference:Cannon, K.A. et al. (2017) The Prevalence of Chronic Deep Venous Thrombosis in Trauma: Implications for Hospitals and Patients. Journal of Trauma and Acute Care Surgery: Post Acceptance: 31 August 2017