Accession Number : ADA268670
Title : Thromboembolic Complications in Thermally Injured Patients,
Corporate Author : ARMY INST OF SURGICAL RESEARCH FORT SAMHOUSTON TX
Personal Author(s) : Rue, Loring W., III ; Cioffi, William G., Jr. ; Rush, Robert ; MaManus, William F. ; Pruitt, Basil A., Jr
Full Text : http://www.dtic.mil/get-tr-doc/pdf?AD=ADA268670
Report Date : DEC 1992
Pagination or Media Count : 5
Abstract : The frequency of thromboembolic complications in burn patients has been estimated to range from 0.4% to 7%. The clinical significance of these events is often debated and has prompted some centers to adopt the routine prophylactic use of low dose heparin prophylaxis. A 10 year review of 2,103 burn patients treated at this institution was undertaken. Twenty-five (1.2%) patients, with a mean age of 40.0 years and an average burn size of 49.3% total body surface area (TBSA), were identified as having significant pulmonary thromboembolism (PTE). In only 3 (0.14%) patients was the thromboembolism considered to be a cause of death. Nineteen (0.9%) patients, with an average age of 36.7 years and a mean burn size of 48.3% TBSA, developed clinically evident deep venous thrombosis (DVT); however, in only 1 (0.05%) patient did the disease progress to fatal PTE.
Descriptors : *WOUNDS AND INJURIES , *PATIENTS , *BURNS(INJURIES) , *EMBOLISM , MOBILIZATION , CLINICAL MEDICINE , INFECTIOUS DISEASES , DOSE RATE , BLOOD DISEASES , BLOOD GROUPS.
Subject Categories : MEDICINE AND MEDICAL RESEARCH
Distribution Statement : APPROVED FOR PUBLIC RELEASE