Clinically important venous thromboembolism in pediatric critical care: a Canadian survey.

Abstract:

PURPOSE:Pediatric venous thromboembolism (VTE) is becoming an increasingly recognized morbidity associated with critical illness. The objective of this survey is to identify the patient factors and radiological features that pediatric intensivists consider more or less likely to make a venous thrombosis (VTE) clinically important in their patients. MATERIALS AND METHODS:Our definition of clinically important VTE was a VTE likely to result in short- or long-term morbidity or mortality if left untreated. We asked respondents to rate the likelihood that patient factors and radiological features make a venous thrombosis clinically important using a 5-point scale (1 = much less likely to 5 = much more likely). RESULTS:The 38 (58.5%) of 65 pediatric intensivists responding rated 4 patient factors as most likely to make a VTE clinically important: clinical suspicion of pulmonary embolism (mean score, 4.8), symptoms (mean, 4.5), detection by physical exam (mean, 4.4), and the presence of an acute or chronic cardiopulmonary comorbidity that might limit a patient's ability to tolerate pulmonary embolism (mean, 4.3). Of the radiological features, the 2 considered most important were VTE involving the vena cava extending into the right atrium (mean, 5) and central veins (mean, 4.5). CONCLUSIONS:When labeling a VTE as clinically important, pediatric intensivists rely on several specific patient factors and thrombus characteristics.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Kotsakis A,Cook D,Griffith L,Anton N,Massicotte P,MacFarland K,Farrell R,Hutchison J,Canadian Critical Care Trials Group.

doi

10.1016/j.jcrc.2005.09.012

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

373-80

issue

4

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(05)00093-6

journal_volume

20

pub_type

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