Venous Thromboembolism: Risk Factors After Injury

Published 2002

Level 1

Patients with spinal cord injuries or spinal fractures are at high-risk for venous thromboembolism after trauma.

Level 2

1. Older age is an increased factor for venous thromboembolism, but it is not clear at what exact age the risk increases substantially.

D. 2. Increasing Injury Severity Score (ISS) and blood transfusion appear to increase the risk of venous thromboembolism, but this association is still unclear.

E. 3. Traditional risk factors such as long bone fractures, pelvic fractures, or head injuries, although significantly associated with a high risk of venous thromboembolisms in single-institution studies, were not found to be powerful risk factors on meta-analysis.

Level 3

No recommendations.