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Rizkallah G, Lee S, Mahmoud A, Handa I, Long J, Massella V, Modi S, Fun Ngan F, Rahman A, Elberm H. 335 Early Initiation of Biochemical Venous Thromboembolism Prophylaxis Following Traumatic Spleen Injury Is Safe and Effectively Reduce VTE Events. Br J Surg 2022. [DOI: 10.1093/bjs/znac039.221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Aim
This study examines the safety and timing initiating VTE prophylaxis post traumatic splenic injuries (TSI).
Method
Patients with TSI were identified from prospectively maintained Trauma Audit and Research Network (TARN) database from 2015–2020 in a single tertiary trauma centre. Clinical and radio-logical information were collected retrospectively. TSI were graded using American Association for the Surgery of Trauma (AAST) splenic injury scale. Chemical venous thromboprophylaxis initiation were categorised as not given, <48h and >48h following the injury.
Results
In total 102 patient were included out of 136 patients identified with TSI. 34 patients were excluded for lack of electronic data, palliative decision, or fatal condition on arrival. 12 patients out of 102 required operative management (OM) and 90 patients NOM. VTE prophylaxis was not given for 31 (30.4%). Medical reasons for this include severe brain injury and early discharge before 48 hours. VTE prophylaxis was initiated for 37 (36.3%) patients within 48 hours, and for 34 patients (33.3%) after 48 hours of admission. Seven patients developed thromboembolic events, majority of which (6/7) received VTE prophylaxis after 48 hours. Importantly, none of the patients who received VTE prophylaxis had rebleeding.
Conclusions
This study showed that early initiation of chemical VTE prophylaxis (<48h) is safe, resulted in lower incidence of DVTs/PEs without increasing the risk of bleeding. Results from this study supports recommendation from other studies 1 to initiate chemical VTE prophylaxis after TSI as early as 24h post injury with no other contra-indications.
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Affiliation(s)
- G. Rizkallah
- University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - S.L. Lee
- University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
- University of Southampton, Southampton, United Kingdom
| | - A. Mahmoud
- University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - I. Handa
- University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - J. Long
- University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - V. Massella
- University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - S. Modi
- University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - F.S. Fun Ngan
- University of Southampton, Southampton, United Kingdom
| | - A. Rahman
- University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
| | - H. Elberm
- University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
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