Key result
Deep vein thrombosis is a common complication in spinal cord injury patients, accounting for up to 9.7% of deaths in the first year, and requires a high index of suspicion alongside institutional prophylaxis protocols.
Why the study?
The risk and outcome of deep vein thrombosis in patients who sustained spinal cord injury remain a clinical challenge.
Does prophylaxis prevent deep vein thrombosis in patients with spinal cord injury?
Does prophylaxis prevent deep vein thrombosis in patients with spinal cord injury?
Answers are grounded in this paper and cite their sources.
Deep vein thrombosis is a significant cause of mortality in spinal cord injury patients, highlighting the critical need for routine mechanical and pharmacological prophylaxis.
The risk and outcome of deep vein thrombosis (DVT) in patients who sustained spinal cord injury (SCI) remain a challenge. We aimed to assess the incidence, risk, burden, and prophylaxis of DVT after SCI. Thirty-nine studies were identified from among 250 relevant articles based on firstly, broad criterion of DVT among SCI cases. secondly, “risk factors” impacting DVT, thirdly, published reports from apex bodies of global importance such as World Health Organization, Centre for disease control, Atlanta USA, and others were given due weightage for their authenticity. SCI is characterized by loss of motor, sensory, and autonomic function with partial or total damage of the anatomical structure leading to increased risk of thrombogenesis. SCIs present a higher risk of venous DVT constituting 9.7% of deaths in the 1st year of follow-up. Currently, prophylaxis with mechanical methods, vena cava filters and antithrombotic chemoprophylaxis in SCI are interventions for the management of DVT. DVT in SCI patients is not uncommon and needs a high index of suspicion and implementation of institutional prophylaxis protocol.
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Agrawal et al. (2019) conducted a review in Deep venous thrombosis after traumatic spinal cord injury. DVT prophylaxis was evaluated. Deep vein thrombosis is a common complication in spinal cord injury patients, accounting for up to 9.7% of deaths in the first year, and requires a high index of suspicion alongside institutional prophylaxis protocols.
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