VTE Risk Assessment and Prophylaxis for Paediatric Patients
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Chong, Chong
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Abstract
The incidence of venous thromboembolism in children is significantly lower than in adults.
National registry data suggests an incidence of 5-8 cases per 10,000 hospital admissions and 0.05-0.14 per 10,000 of the paediatric population. This shows that risk of VTE is higher in children who are admitted to hospital.
Peak incidences: infants <2 years of age and in adolescence
More than 80% of paediatric VTE events occur in children with one or more risk factors (around 50 % of adult VTEs occur in the absence of risk factors i.e. are unprovoked)
Risk factors: sepsis, malignancy, immobility, surgery, presence central venous line (CVL) single most important risk factor in the aetiology of VTE
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Keywords
venous thromboembolism , VTE , children , risk assessment , Prophylaxis