title: Variation in DVT prophylaxis for adolescent trauma patients: a survey of the Society of Trauma Nurses.
abstract: We performed a survey of the Society of Trauma Nurses to explore current practice patterns for deep venous thrombosis prophylaxis in adolescent trauma patients and analyzed responses from 133 institutions. The majority of adult prophylaxis protocols include older adolescents. Only 41% of adult programs identified patient age as "very" important in prophylaxis decision making. Pelvic fracture, spinal cord injury, and expected immobilization were rated most important. Pharmacologic prophylaxis in 11- to 15-year-olds was infrequent, with 60% of centers using never or rarely. Use was much higher but variable among older adolescents. No consensus on deep venous thrombosis prophylaxis in adolescent trauma emerged from our survey.
authors.affiliation: Center for Innovation in Pediatric Practice, The Research Institute at Nationwide Children's Hospital, Division of Pediatric Hematology/Oncology, Nationwide Children's Hospital, Columbus, Ohio 43205, USA. sarah.obrian@nationwidechildrens.org
authors.forename: Sarah H
authors.initials: SH
authors.lastname: O'Brien
authors.forename: Kathy
authors.initials: K
authors.lastname: Haley
authors.forename: Kelly J
authors.initials: KJ
authors.lastname: Kelleher
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: Christine
authors.initials: C
authors.lastname: McKenna
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Gaines
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000465:Algorithms; D000925:Anticoagulants / Q000627:therapeutic use; D002985:Clinical Protocols; D003659:Decision Making, Organizational; D003663:Decision Trees; D006801:Humans; D008403:Mass Screening; D009104:Multiple Trauma / Q000150:complications*; D009718:Nurse Administrators; D015403:Nursing Evaluation Research; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D012956:Societies, Nursing; D011795:Surveys and Questionnaires; D014193:Trauma Centers; D014194:Traumatology; D014481:United States; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*
chemical_list: D000925:Anticoagulants