Journal of Trauma and Injury

Upper Extremity Deep Vein Thrombosis after Clavicle Fracture and Immobilization: Sung Jin Kim, Dae Sung Ma, Sung Youl Hyun, Yang Bin Jeon, Seok Joo, Ahram Han; J Trauma Inj. 2018;31(1):34-37. Published online April 30, 2018; DOI: https://doi.org/10.20408/jti.2018.31.1.34

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Abstract PDF: Upper extremity deep vein thrombosis (DVT) is an unusual condition compared to lower extremity DVT, and it represents about 10% of all DVTs. We report a case of upper extremity DVT after clavicle fracture and immobilization.; Summary

Development of Deep Vein Thrombosis in Severely Injured Multiple Trauma Patients: Sangnyun Kim, Dongun Lee, Bumchul Lee, Jungbae Park, Sujeong Shin; J Trauma Inj. 2012;25(4):109-114.

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Abstract PDF: PURPOSE
Deep vein thrombosis and pulmonary thromboembolism are major causes of death after severe multiple trauma. Although various means of prevention have been presented and utilized, still, there are no standard guidelines for anticoagulation of multiple trauma because of some contraindications.
METHODS
A retrospective study of adult major trauma patients whose injury severity scores (ISSs) were over 16 and who had visited one university hospital in Daegu city was performed. We compared some features of patients diagnosed DVT or PTE with those of patients without DVT by computed tomography or ultra sonography. Those features included accompanying various kinds of intracranial hemorrhages, possibility of ambulation, emergent operation, early transfusion, and suspicious symptoms.
RESULTS
The mean age of the 58 subjects included in this study was 50.9+/-17.2 years, the mean ISS was 22.7+/-6.0, and the mean hospital stay was 55.2+/-37.9 days. Ten(17.2%) patients had emergent surgery, and 44(75.9%) experienced delayed surgery. Early transfusion was needed in 34(58.6%) patients. Among the 18 patients diagnosed with DVT, accompanying intracranial hemorrhages were noted in 8(44.4%) patients; one of the 8 also had PTE. Among the same 18 patients, early transfusions were required in 11(61.1%) patients; one of the 11 also had PTE.
CONCLUSION
The risk of DVT is increased in cases of severe multiple trauma, and many difficulties in applying anticoagulants are experienced. Though we need additional studies to decide proper prophylaxis for DVT and PTE, if the patient's general condition permits, a screening test for DVT as soon as possible could be an effective method to reduce the possibility of a bad outcome.; Summary

The Occurence of Deep Vein Thrombosis in Abdominal Compartment Patient: Seong Yup Kim, Sung Chan Jin; J Trauma Inj. 2013;26(4):312-315.

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Abstract PDF: Abdominal compartment syndrome is one cause of deep vein thrombosis of lower extremity. Although prophylactic dose of anticoagulation agent is safely started after 24~48 hours without the evidence of active bleeding, there may be bleeding complication related to invasive procedure which trauma victims undergo. Inferior vena cava filter should be considered in the treatment plan of this complex situation.; Summary

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