Epidemiology and clinical characteristics of posttraumatic hospitalized patients with symptoms related to venous thromboembolism: a single-center retrospective study
Purpose The aim of this study was to investigate the epidemiology of trauma inpatients with venous thromboembolism (VTE) symptoms diagnosed using computed tomographic angiography (CTA) in Korea. Methods In total, 7,634 patients admitted to the emergency department of Gachon University Gil Medical Ce...
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Korean Society of Traumatology
2022-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2021-0052.pdf |
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| author | Hyung Su Park Sung Youl Hyun Woo Sung Choi Jin-Seong Cho Jae Ho Jang Jea Yeon Choi |
| author_facet | Hyung Su Park Sung Youl Hyun Woo Sung Choi Jin-Seong Cho Jae Ho Jang Jea Yeon Choi |
| author_sort | Hyung Su Park |
| collection | DOAJ |
| description | Purpose The aim of this study was to investigate the epidemiology of trauma inpatients with venous thromboembolism (VTE) symptoms diagnosed using computed tomographic angiography (CTA) in Korea. Methods In total, 7,634 patients admitted to the emergency department of Gachon University Gil Medical Center, a tertiary hospital, and hospitalized between July 1, 2018 and December 31, 2020 were registered for this study. Of these patients, 278 patients who underwent CTA were enrolled in our study. Results VTE was found in 120 of the 7,634 patients (1.57%), and the positive diagnosis rate of the 278 patients who underwent CTA was 43.2% (120 of 278). The incidence of VTE was statistically significantly higher among those with severe head and neck injuries (Abbreviated Injury Scale, 3–5) than among those with nonsevere head and neck injuries (Abbreviated Injury Scale, 0–2; P=0.038). In a subgroup analysis, the severe and nonsevere head and neck injury groups showed statistically significant differences in known independent risk factors for VTE. In logistic regression analysis, the adjusted odds ratio of severe head and neck injury (Abbreviated Injury Scale, 3–5) for VTE was 1.891 (95% confidence interval, 1.043–3.430). Conclusions Trauma patients with severe head and neck injuries are more susceptible to VTE than those with nonsevere head and neck injuries. Thus, physicians must consider CTA as a priority for the diagnosis of VTE in trauma patients with severe head and neck injuries who show VTE-associated symptoms. |
| format | Article |
| id | doaj-art-7e86f3a0fb4d4962a2da5a81050a4bd5 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-7e86f3a0fb4d4962a2da5a81050a4bd52025-01-16T04:54:41ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-09-0135315916710.20408/jti.2021.00521193Epidemiology and clinical characteristics of posttraumatic hospitalized patients with symptoms related to venous thromboembolism: a single-center retrospective studyHyung Su Park0Sung Youl Hyun1Woo Sung Choi2Jin-Seong Cho3Jae Ho Jang4Jea Yeon Choi5 Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea Department of Traumatology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea Department of Emergency Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaPurpose The aim of this study was to investigate the epidemiology of trauma inpatients with venous thromboembolism (VTE) symptoms diagnosed using computed tomographic angiography (CTA) in Korea. Methods In total, 7,634 patients admitted to the emergency department of Gachon University Gil Medical Center, a tertiary hospital, and hospitalized between July 1, 2018 and December 31, 2020 were registered for this study. Of these patients, 278 patients who underwent CTA were enrolled in our study. Results VTE was found in 120 of the 7,634 patients (1.57%), and the positive diagnosis rate of the 278 patients who underwent CTA was 43.2% (120 of 278). The incidence of VTE was statistically significantly higher among those with severe head and neck injuries (Abbreviated Injury Scale, 3–5) than among those with nonsevere head and neck injuries (Abbreviated Injury Scale, 0–2; P=0.038). In a subgroup analysis, the severe and nonsevere head and neck injury groups showed statistically significant differences in known independent risk factors for VTE. In logistic regression analysis, the adjusted odds ratio of severe head and neck injury (Abbreviated Injury Scale, 3–5) for VTE was 1.891 (95% confidence interval, 1.043–3.430). Conclusions Trauma patients with severe head and neck injuries are more susceptible to VTE than those with nonsevere head and neck injuries. Thus, physicians must consider CTA as a priority for the diagnosis of VTE in trauma patients with severe head and neck injuries who show VTE-associated symptoms.http://jtraumainj.org/upload/pdf/jti-2021-0052.pdfwounds and injuriesvenous thromboembolismcomputed tomography angiographyepidemiologykorea |
| spellingShingle | Hyung Su Park Sung Youl Hyun Woo Sung Choi Jin-Seong Cho Jae Ho Jang Jea Yeon Choi Epidemiology and clinical characteristics of posttraumatic hospitalized patients with symptoms related to venous thromboembolism: a single-center retrospective study Journal of Trauma and Injury wounds and injuries venous thromboembolism computed tomography angiography epidemiology korea |
| title | Epidemiology and clinical characteristics of posttraumatic hospitalized patients with symptoms related to venous thromboembolism: a single-center retrospective study |
| title_full | Epidemiology and clinical characteristics of posttraumatic hospitalized patients with symptoms related to venous thromboembolism: a single-center retrospective study |
| title_fullStr | Epidemiology and clinical characteristics of posttraumatic hospitalized patients with symptoms related to venous thromboembolism: a single-center retrospective study |
| title_full_unstemmed | Epidemiology and clinical characteristics of posttraumatic hospitalized patients with symptoms related to venous thromboembolism: a single-center retrospective study |
| title_short | Epidemiology and clinical characteristics of posttraumatic hospitalized patients with symptoms related to venous thromboembolism: a single-center retrospective study |
| title_sort | epidemiology and clinical characteristics of posttraumatic hospitalized patients with symptoms related to venous thromboembolism a single center retrospective study |
| topic | wounds and injuries venous thromboembolism computed tomography angiography epidemiology korea |
| url | http://jtraumainj.org/upload/pdf/jti-2021-0052.pdf |
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