Asymptomatic Trauma Patients Screened for Venous Thromboembolism Have a Higher Risk Profile with Lower Rate of Pulmonary Embolism: A Five-Year Single-Institution Experience.

Authors

• Adam P Johnson
• Deepika Koganti
• Adam Wallace
• Seth Stake
• Scott W Cowan
• Murray J Cohen
• Joshua A Marks

Publication/Presentation Date

2-1-2020

Abstract

Deep vein thrombosis (DVT) is linked to reimbursements and publicly reported metrics. Some hospitals discourage venous duplex ultrasound (VDUS) screening in asymptomatic trauma patients because they often find higher rates of DVT. We aim to evaluate the association between lower extremity (LE) VDUS screening and pulmonary embolism (PE) in trauma patients. Trauma patients admitted to an urban Level-1 trauma center between 2010 and 2015 were retrospectively analyzed. We characterized the association of asymptomatic LE VDUSs with PE, upper extremity DVT, proximal LE DVT, and distal LE DVT by univariate and multivariable logistic regression controlling for confounders. Of the 3959 trauma patients included in our study-after adjusting for covariates related to patient demographics, injury, and procedures-there was a significantly lower likelihood of PE in screened patients (odds ratio (OR) = 0.02,

Volume

86

Issue

2

First Page

104

Last Page

109

ISSN

1555-9823

Published In/Presented At

Johnson, A. P., Koganti, D., Wallace, A., Stake, S., Cowan, S. W., Cohen, M. J., & Marks, J. A. (2020). Asymptomatic Trauma Patients Screened for Venous Thromboembolism Have a Higher Risk Profile with Lower Rate of Pulmonary Embolism: A Five-Year Single-Institution Experience. The American surgeon, 86(2), 104–109.

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

32167051

Department(s)

Administration and Leadership

Document Type

Article