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. 2016 Jan 23;5(1):e32915. doi: 10.5812/atr.32915

Table 2. Literature Review of Incidence and Risk Factors for Venous Thromboembolism in Orthopaedic Trauma.

Study Study Design, Patient Population N Prophylaxis used? Incidence of VTE Risk factors for VTE identified
Geerts et al. (3) Single center prospective cohort, major trauma patients 349 No 58% (1% fatal PE) Age, blood transfusion, surgery, fracture of the femur or tibia, and spinal cord injury.
O'Malley et al. (6) Single center retrospective cohort, major trauma patients 1,316 Yes 2.3% (PE) Age > 55 years, multi-system injury, cannulation of central veins, and pelvic fractures (but not long-bone fractures)
Paffrath et al. (7) Multicenter retrospective cohort, major trauma patients 7,937 Yes 1.8% (PE) ISS score, Pelvic AIS score 2 or higher, # of operations, medical comorbidities (diabetes, renal failure, malignancy, coagulation disorders)
Tuttle-Newhall et al. (8) State-wide trauma registry, major trauma patients 318,554 Yes 0.3% (PE) Age > 55 years, increasing ISS and AIS (extremity, soft tissue, chest regions),
Godzik et al. (5) Retrospective Database Review, Ortho Trauma Patients 199,952 Yes 0.46% (PE) Multiple fractures, history of warfarin use, morbid obesity, ED disposition to ICU or OR
Fisher et al. (12) Prospective RCT (SCDs vs. None), Ortho Trauma Patients 304 Yes/No 11% vs. 4% 11% incidence for control group, 4% incidence in experimental group
Stannard et al. (10) Prospective Cohort Study, Ortho Trauma Patients 312 Yes 11.5% 11.5% incidence of VTE despite prophylaxis