Abstract:
Objectives: To review clinical practice with regards to venous thromboembolism prophylaxis in traumatic brain injury patients and to propose guidelines. Methods: The retrospective study was conducted at Al Rass General Hospital, Saudi Arabia, and comprised medical records of all traumatic brain injury patients admitted to the Neurosurgery Department between November, 2017, and January, 2018. Data was noted using a proforma. Literature review was done to ascertain best clinical evidence and proposed guidelines for practice. Results: Of the 26 patients, 23(88.5 %) were males, and 3(11.5 %) were females. The overall mean age was 32.2±13.4 years. Of the total, 8(30.8%) patients had mechanical venous thromboembolism prophylaxis, while 1(3.8%) received enoxaparin as chemoprophylaxis. There were no reported thromboembolic events or complications related to enoxaparin usage. Conclusion: The usage of venous thromboembolism prophylaxis was found to be low in clinical practice. A modified Parkland Model approach seemed the most appropriate to avoid venous thromboembolism related events.
Page(s):
1052-1055
DOI:
DOI not available
Published:
Journal: Journal of Pakistan Medical Association, Volume: 70, Issue: 6, Year: 2020
Keywords:
Prophylaxis
,
venous thromboembolism
,
Traumatic brain injury
,
VTE
,
Enoxaparin
,
TBI