VTE Prophylaxis in the setting of Traumatic Neurologic Injury2020
Type: New Practice Management Guideline (PMG)
Committee Liaison: George Kasotakis, MD, MPH
Multiple studies exist in the trauma literature that support the use of chemoprophylaxis in the setting of both traumatic brain injury and spine injury, even in early settings <72 hours. However, many centers defer decision on chemoprophylaxis to the discretion of the neurosurgical service which can be more restrictive on initiation. Polytrauma patients and elderly patients may be most at risk for delayed initiation despite highest risk of VTE events. Guidelines on criteria for initiation including timing would be beneficial to many centers to support the practice of earlier chemoprophylaxis.
Work Group Member:
Jacob Peschman, MD