Venous thromboembolism is a rare complication (0.68%) in pediatric orthopedic trauma patients, with higher risk observed in those with axial or multiple fractures and central venous catheters.
Alerts clinicians to potential VTE in pediatric axial/multiple fractures; extends limited data but leaves open prophylaxis trials.
Using the 2012 Kids Inpatient Database, we assessed records of pediatric patients (<21 years old) with fractures of the upper limb, lower limb, spine, pelvis, and multiple locations and calculated the overall prevalence of venous thromboembolism (VTE) and associated potential risk factors. 387 (0.68%) of 57 183 patients with one or more fractures were diagnosed with VTE. Children sustaining fractures of the axial skeleton and those with multiple fractures had a higher prevalence of VTE than those with isolated extremity fractures. Associated risk factors included the presence of a central venous catheter. A prospective, multicenter study is needed to confirm our findings.
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Guzman et al. (2017) studied this question.
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