How long should we fear? Long-term risk of venous thromboembolism in patients with traumatic brain injury

Olubode A. Olufajo; Brain K. Yorkgitis; Zara Cooper; Arturo Rios-Diaz; David Metcalfe; Joaquim M. Havens; Edward Kelly; Adil H. Haider; Jonathan D. Gates; Ali Salim

doi:10.1097/TA.0000000000001046

How long should we fear? Long-term risk of venous thromboembolism in patients with traumatic brain injury

Olubode A. Olufajo, Brain K. Yorkgitis, Zara Cooper, Arturo Rios-Diaz, David Metcalfe, Joaquim M. Havens, Edward Kelly, Adil H. Haider, Jonathan D. Gates, Ali Salim

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

BACKGROUND: Although patients with traumatic brain injury (TBI) are known to be at high risk for venous thromboembolism (VTE), it is not clear how long this risk persists after injury. We aimed to determine the risk of VTE in TBI patients during one year following injury and to identify associated factors. METHODS: Patients 18 years and older with ICD-9-CM diagnoses of isolated TBI (Head Abbreviated Injury Scale (AIS) ≥3 and AIS 64 years vs. 18 – 44 years [2.62 (1.80–3.81)], having an operation during the index admission [1.65 (1.36–2.01)], and hospital length of stay >7 days vs. ≤3 days [1.64 (1.27–2.11)]. CONCLUSION: The risk of VTE persists long after discharge in a significant proportion of patients with TBI. Demographic and admission characteristics of patients play significant roles in the risk of VTE after discharge. These results highlight the need for sustained surveillance and preventive measures among TBI patients at increased risk for long-term VTE. LEVEL OF EVIDENCE: Level III, Epidemiologic

Original language	English (US)
Journal	The journal of trauma and acute care surgery
DOIs	https://doi.org/10.1097/TA.0000000000001046
State	Accepted/In press - Mar 25 2016
Externally published	Yes

ASJC Scopus subject areas

Critical Care and Intensive Care Medicine
Surgery

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@article{9a25c445c17e4036b31db0b32a8ca8e4,

title = "How long should we fear? Long-term risk of venous thromboembolism in patients with traumatic brain injury",

abstract = "BACKGROUND: Although patients with traumatic brain injury (TBI) are known to be at high risk for venous thromboembolism (VTE), it is not clear how long this risk persists after injury. We aimed to determine the risk of VTE in TBI patients during one year following injury and to identify associated factors. METHODS: Patients 18 years and older with ICD-9-CM diagnoses of isolated TBI (Head Abbreviated Injury Scale (AIS) ≥3 and AIS 64 years vs. 18 – 44 years [2.62 (1.80–3.81)], having an operation during the index admission [1.65 (1.36–2.01)], and hospital length of stay >7 days vs. ≤3 days [1.64 (1.27–2.11)]. CONCLUSION: The risk of VTE persists long after discharge in a significant proportion of patients with TBI. Demographic and admission characteristics of patients play significant roles in the risk of VTE after discharge. These results highlight the need for sustained surveillance and preventive measures among TBI patients at increased risk for long-term VTE. LEVEL OF EVIDENCE: Level III, Epidemiologic",

author = "Olufajo, {Olubode A.} and Yorkgitis, {Brain K.} and Zara Cooper and Arturo Rios-Diaz and David Metcalfe and Havens, {Joaquim M.} and Edward Kelly and Haider, {Adil H.} and Gates, {Jonathan D.} and Ali Salim",

year = "2016",

month = mar,

day = "25",

doi = "10.1097/TA.0000000000001046",

language = "English (US)",

journal = "The journal of trauma and acute care surgery",

issn = "2163-0755",

publisher = "Lippincott Williams and Wilkins",

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TY - JOUR

T1 - How long should we fear? Long-term risk of venous thromboembolism in patients with traumatic brain injury

AU - Olufajo, Olubode A.

AU - Yorkgitis, Brain K.

AU - Cooper, Zara

AU - Rios-Diaz, Arturo

AU - Metcalfe, David

AU - Havens, Joaquim M.

AU - Kelly, Edward

AU - Haider, Adil H.

AU - Gates, Jonathan D.

AU - Salim, Ali

PY - 2016/3/25

Y1 - 2016/3/25

N2 - BACKGROUND: Although patients with traumatic brain injury (TBI) are known to be at high risk for venous thromboembolism (VTE), it is not clear how long this risk persists after injury. We aimed to determine the risk of VTE in TBI patients during one year following injury and to identify associated factors. METHODS: Patients 18 years and older with ICD-9-CM diagnoses of isolated TBI (Head Abbreviated Injury Scale (AIS) ≥3 and AIS 64 years vs. 18 – 44 years [2.62 (1.80–3.81)], having an operation during the index admission [1.65 (1.36–2.01)], and hospital length of stay >7 days vs. ≤3 days [1.64 (1.27–2.11)]. CONCLUSION: The risk of VTE persists long after discharge in a significant proportion of patients with TBI. Demographic and admission characteristics of patients play significant roles in the risk of VTE after discharge. These results highlight the need for sustained surveillance and preventive measures among TBI patients at increased risk for long-term VTE. LEVEL OF EVIDENCE: Level III, Epidemiologic

AB - BACKGROUND: Although patients with traumatic brain injury (TBI) are known to be at high risk for venous thromboembolism (VTE), it is not clear how long this risk persists after injury. We aimed to determine the risk of VTE in TBI patients during one year following injury and to identify associated factors. METHODS: Patients 18 years and older with ICD-9-CM diagnoses of isolated TBI (Head Abbreviated Injury Scale (AIS) ≥3 and AIS 64 years vs. 18 – 44 years [2.62 (1.80–3.81)], having an operation during the index admission [1.65 (1.36–2.01)], and hospital length of stay >7 days vs. ≤3 days [1.64 (1.27–2.11)]. CONCLUSION: The risk of VTE persists long after discharge in a significant proportion of patients with TBI. Demographic and admission characteristics of patients play significant roles in the risk of VTE after discharge. These results highlight the need for sustained surveillance and preventive measures among TBI patients at increased risk for long-term VTE. LEVEL OF EVIDENCE: Level III, Epidemiologic

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How long should we fear? Long-term risk of venous thromboembolism in patients with traumatic brain injury

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