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- Prevention of Venous Thromboembolism in Individuals with Spinal Cord Injury
A systematic review of anticoagulant thrombo-prophylaxis in SCI patients showed that LMWH was associated with a significant decrease in PE and a trend for fewer DVT and major bleeding compared with LDUH (Paciaroni, 2008)
- SPINAL CORD INJURY GUIDELINES 2020 - College of Medicine
Impedance plethysmography can be used to diagnose DVT by detecting increased venous outflow resistance in the deep veins of the lower limbs, but its use has been discontinued in many centers due to its relatively low sensitivity for detecting proximal-vein DVT (66%)
- Practice Management Guidelines for Venous Thromboembolism Prophylaxis
A prophylactic IVC filter may be considered in patients with paraplegia or quadriplegia; IVC, iliac, or femoral venous ligation repair; severe pelvic fracture with lower extremity long bone fracture; AIS head ≥ 3 with contraindication to anticoagulation; or high risk patients with contraindication, failure, or complications of anticoagulation
- Anticoagulation in Paraplegic Patients - Patient Care Online
Note that if DVT develops despite prophylactic anticoagulation, the patient must be screened for coagulopathies If the results are positive, appropriate treatment should be implemented; consider surgical management, using procedures such as placement of a vena cava filter
- Acute Pharmacological DVT Prophylaxis after Spinal Cord Injury
A systematic review of the literature was performed to address pertinent clinical questions regarding deep vein thrombosis (DVT) prophylaxis in the setting of acute spinal cord injury (SCI)
- Guidelines for the Management of Patients with Spinal Cord Injury . . .
Prophylactic anticoagulation may significantly reduce the risk of VTE events; however, there are significant risks to prophylaxis in trauma patients, including symptomatic hematoma formation, enlargement of a spinal cord contusion, worsening of neurologic deficits, bleeding and mortality
- Deep vein thrombosis in spinal cord injury: effect of prophylaxis with . . .
We conclude that spinal cord injury patients are at extreme risk for DVT, and have abnormal platelet and factor VIII activities Prophylaxis with EPCC significantly and safely reduces the risk of DVT in these patients
- 7. Prophylaxis and Treatment of Thromboembolic Events
Complete paraplegia was significantly associated with the development of VTE (odds ratio 1 80; tetraplegia OR 1 0) 16 Waring and Karunas 5 did not identify a significant difference in PE or DVT rates for paraplegic compared with tetraplegic patients
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