PlumX Metrics
Embed PlumX Metrics

Preperitoneal Pelvic Packing is Associated With Increased Risk of Venous Thromboembolism

Journal of Surgical Research, ISSN: 0022-4804, Vol: 280, Page: 85-93
2022
  • 3
    Citations
  • 0
    Usage
  • 7
    Captures
  • 1
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    3
  • Captures
    7
  • Mentions
    1
    • News Mentions
      1
      • News
        1

Most Recent News

New Venous Thromboembolism Study Findings Have Been Reported by Researchers at Massachusetts General Hospital (Preperitoneal Pelvic Packing Is Associated With Increased Risk of Venous Thromboembolism)

2023 JAN 03 (NewsRx) -- By a News Reporter-Staff News Editor at Disease Prevention Daily -- Investigators publish new report on Cardiovascular Diseases and Conditions

Article Description

Preperitoneal pelvic packing (PPP) is an important intervention for control of severe pelvic hemorrhage in blunt trauma patients. We hypothesized that PPP is associated with an increased incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE). A retrospective cohort analysis of blunt trauma patients with severe pelvic fractures (AIS ≥4) using the 2015-2017 American College of Surgeons-Trauma Quality Improvement Program database was performed. Patients who underwent PPP within four hours of admission were matched to patients who did not using propensity score matching. Matching was performed based on demographics, comorbidities, injury- and resuscitation-related parameters, vital signs at presentation, and initiation and type of prophylactic anticoagulation. The rates of DVT and PE were compared between the matched groups. Out of 5129 patients with severe pelvic fractures, 157 (3.1%) underwent PPP within four h of presentation and were matched with 157 who did not. No significant differences were detected between the two matched groups in any of the examined baseline variables. Similarly, mortality and end-organ failure rates were not different. However, PPP patients were significantly more likely to develop DVT (12.7% versus 5.1%, P  = 0.028) and PE (5.7% versus 0.0%, P  = 0.003). PPP in severe pelvic fractures secondary to blunt trauma is associated with an increased risk of DVT and PE. A high index of suspicion and a low threshold for screening for these conditions should be maintained in patients who undergo PPP.

Bibliographic Details

Provide Feedback

Have ideas for a new metric? Would you like to see something else here?Let us know