Global evacuation of burn patients does not increase the incidence of venous thromboembolic complications.
Global evacuation of burn patients does not increase the incidence of venous thromboembolic complications.
复制标题
烧伤患者的整体后送不会增加静脉血栓栓塞并发症的发生率。
DOI：
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复制
发表时间：
2008
期刊：
影响因子：
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通讯作者：
J. Holcomb
中科院分区：
文献类型：
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作者：
K. Chung;Lorne H. Blackbourne;E. Renz;L. Cancio;Jingjing Wang;Myung S. Park;E. Horvath;M. C. Albrecht;C. White;S. Wanek;D. Barillo;S. Wolf;J. Holcomb
背景
BACKGROUND
Case-control studies have suggested that air travel may be a risk factor for the development of Venous Thromboembolism (VTE). Burned patients from the current war in Iraq and Afghanistan, are transported across three continents to our Burn Center with total ground and air transport time being approximately 24 hours spread over 3 days to 4 days. We hypothesized global evacuation results in increased VTE rates.
METHODS
Retrospective review of 1,107 consecutive patients admitted to our burn center from January 2003 to December 2005.
RESULTS
In the time period evaluated, no detectible differences were found in incidence of VTE between air-evacuated soldiers and those admitted to our facility from South Texas (1.31% vs. 0.83%, p = ns). The air-evacuated soldiers were younger (26 +/- 7 vs. 41 +/- 19, p < 0.0001) but had a higher incidence of inhalation injury (14.4% vs. 8.0%, p < 0.0001) and higher Injury Severity Score (10.9 +/- 13.0 vs. 6.5 +/- 9.2, p < 0.0001). No difference in average percent total body surface area involvement was found (15.8 +/- 19.4 vs. 15.5 +/- 18.4, p = ns). Overall, 11 of 1,107 (0.99%) burned patients developed VTE.
CONCLUSION
Prolonged global evacuation is not associated with increased risk of VTE.