Table 1.
Reference | Target population | Risk categories | Criteria | Interventions |
---|---|---|---|---|
Braga and Young (10) | Children in the pediatric intensive care unit (PICU) | Low risk | Immobility | Early mobilization and adequate hydration |
At risk | ≥1 additional risk factor for VTE | Mechanical prophylaxis, pharmacologic prophylaxis to be considered for children with burns | ||
Raffini et al. (11) | Children ≥14 years old | Low risk | No risk factors for VTE | Early ambulation |
At risk | ≥1 risk factor (excluding immobility) or immobility without other risk factors for VTE | Mechanical prophylaxis | ||
High risk | Immobility with ≥1 additional risk factor for VTE | Mechanical and (strong consideration) pharmacologic prophylaxis | ||
Hanson et al. (12) | Children admitted to the PICU after trauma | Low risk of VTE | <13 years old and ≤3 risk factors for VTE | None |
High risk of VTE with high risk of bleeding | ≥13 years old or <13 years old with ≥4 risk factors for VTE and ≥1 risk factor for bleeding | Mechanical prophylaxis and surveillance ultrasound | ||
High risk of VTE with low risk of bleeding | ≥13 or <13 years old with ≥4 risk factors for VTE and no risk factor for bleeding | Mechanical and pharmacologic prophylaxis | ||
Meier et al. (14) | Children 10–17 years old | Low risk | No risk factors for VTE | Early ambulation and mitigation of risk factors |
Moderate risk | ≥1 risk factor for VTE (excluding immobility) or immobility with ≤1 risk factor for VTE | Mechanical prophylaxis | ||
High risk | Immobility with ≥2 risk factors | Mechanical and pharmacologic (to be considered) prophylaxis | ||
Mahajerin et al. (13) | Children >12 years old | Low risk | No risk factors for VTE | Early ambulation |
Moderate risk | Combinations of risk factors for VTE determine moderate versus high risk | Mechanical prophylaxis | ||
High risk | Mechanical and pharmacologic prophylaxis |
VTE, venous thromboembolism.