We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us

Download Mobile App




IVC Filters Provide No Advantage in Trauma Care

By HospiMedica International staff writers
Posted on 14 Oct 2016
Print article
Trauma patients who received an inferior vena cava (IVC) filter to prevent pulmonary embolism (PE) had no survival advantage, according to a new study.

Researchers at Boston University School of Medicine (MA, USA) conducted a retrospective cohort study among 451 IVC recipients and 1,343 controls that underwent trauma care at Boston Medical Center between August 1, 2003, and December 31, 2012, in order to determine if IVC filter insertion in trauma patients affects overall mortality. Patients and controls were matched for age, sex, race/ethnicity, and injury severity score. The main outcomes and measures were hospital mortality and brain injury severity.

Patient characteristics and mortality data were analyzed in all patients and in those who survived 24, 48, and 72 hours after injury, as well as at hospital discharge. The results revealed that in-hospital deaths appeared to be reduced in patients who got an IVC filter (5.5% versus 22% for controls), and most of the mortality was tied to early complications from trauma. However, most of the deaths in the control group happened before IVC filters would have been placed, which occurred at a median of 72 hours after injury. Those who survived to 72 hours did not differ in mortality rates.

Among trauma patients who survived at least 24 hours after the time of injury, IVC filter use was not associated with a decrease in death rates, regardless of whether patients had deep vein thrombosis (DVT) or PE at the time of filter placement. The trend remained stable at six months and one year after discharge. The researchers commented that just 8% of the IVC filters were removed at during the follow-up period. The study was published on September 28, 2016, in JAMA Surgery.

“Overall, these data indicate that IVC filters should not be placed in trauma patients in an effort to decrease all-cause mortality,” concluded lead author Shayna Sarosiek, MD, and colleagues. “Given the expected morbidity of long-term IVC filter use, filters should be removed as soon as a patient's contraindication to anticoagulation resolves.”

Since the invention of the permanent percutaneous IVC filter in 1973 and the retrievable IVC filter in the 1990s, its use has become a standard part of treatment for select patients with acute lower-extremity venous thrombosis who cannot receive anticoagulation. Placement of an IVC filter is thus frequently considered in trauma patients because of the high risk of venous thromboembolism (VTE) associated with traumatic injury and the risks of anticoagulation in this population.

Related Links:
Boston University School of Medicine

Gold Member
Solid State Kv/Dose Multi-Sensor
AGMS-DM+
Gold Member
POC Blood Gas Analyzer
Stat Profile Prime Plus
Silver Member
Wireless Mobile ECG Recorder
NR-1207-3/NR-1207-E
New
Silver Member
ECG Management System
NEMS-Q

Print article

Channels

Surgical Techniques

view channel
Image: NTT and Olympus have begun the world\'s first joint demonstration experiment of a cloud endoscopy system (Photo courtesy of Olympus)

Cloud Endoscopy System Enables Real-Time Image Processing on the Cloud

Endoscopes, which are flexible tubes inserted into the body's natural openings for internal examination and biopsy collection, are becoming increasingly vital in medical diagnostics. Their minimal invasiveness... Read more

Patient Care

view channel
Image: The newly-launched solution can transform operating room scheduling and boost utilization rates (Photo courtesy of Fujitsu)

Surgical Capacity Optimization Solution Helps Hospitals Boost OR Utilization

An innovative solution has the capability to transform surgical capacity utilization by targeting the root cause of surgical block time inefficiencies. Fujitsu Limited’s (Tokyo, Japan) Surgical Capacity... Read more

Health IT

view channel
Image: First ever institution-specific model provides significant performance advantage over current population-derived models (Photo courtesy of Mount Sinai)

Machine Learning Model Improves Mortality Risk Prediction for Cardiac Surgery Patients

Machine learning algorithms have been deployed to create predictive models in various medical fields, with some demonstrating improved outcomes compared to their standard-of-care counterparts.... Read more

Point of Care

view channel
Image: The PATHFAST hs-cTnI-II high-sensitivity troponin assay has been developed for the PATHFAST Biomarker Analyzer (Photo courtesy of Polymedco)

POC Myocardial Infarction Test Delivers Results in 17 Minutes

Chest pain is the second leading cause of emergency department (ED) visits by adults in the United States, generating over 7 million visits annually. In the event of a suspected heart attack, physicians... Read more
Copyright © 2000-2024 Globetech Media. All rights reserved.