Updated guidelines to reduce venous thromboembolism in trauma patients: A Western Trauma Association critical decisions algorithm

Eric J. Ley, Carlos V.R. Brown, Ernest E. Moore, Jack A. Sava, Kimberly Peck, David J. Ciesla, Jason L. Sperry, Anne G. Rizzo, Nelson G. Rosen, Karen J. Brasel, Rosemary Kozar, Kenji Inaba, Matthew J. Martin

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

This algorithm was designed to provide comprehensive and clear guidance aimed at reducing the VTE rate after trauma. Although there are multiple factors that will lead to deviations from the presented algorithm, most trauma patients should be initiated on early and higher doses of enoxaparin that often should be adjusted by anti-Xa levels. For most trauma patients, pharmacologic prophylaxis should continue uninterrupted throughout the hospital stay and at times after discharge. Avoiding preventable and non–evidence-based delays to the initiation and missed doses of pharmacologic prophylaxis should be a best-practice focus of all trauma centers, and it has clearly been associated with decreased rates of VTE events.

Original languageEnglish (US)
Pages (from-to)971-981
Number of pages11
JournalJournal of Trauma and Acute Care Surgery
Volume89
Issue number5
DOIs
StatePublished - Nov 1 2020

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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