Keywords

Deep venous thrombosis, DVT prophylaxis, Pediatrics, Trauma

Authors

1. O'Brien, Sarah H. MD, MSc
2. Haley, Kathy BSN, RN
3. Kelleher, Kelly J. MD, MPH
4. Wang, Wei MS, MAS
5. McKenna, Christine MSN, RN, CRNP
6. Gaines, Barbara A. MD

ABSTRACT

We performed a survey of the Society of Trauma Nurses to explore current practice patterns for deep venous thrombosis prophylaxis in adolescent trauma patients and analyzed responses from 133 institutions. The majority of adult prophylaxis protocols include older adolescents. Only 41% of adult programs identified patient age as "very" important in prophylaxis decision making. Pelvic fracture, spinal cord injury, and expected immobilization were rated most important. Pharmacologic prophylaxis in 11- to 15-year-olds was infrequent, with 60% of centers using never or rarely. Use was much higher but variable among older adolescents. No consensus on deep venous thrombosis prophylaxis in adolescent trauma emerged from our survey.