Abstract

The exact incidence of venous thromboembolic disease (VTE) in burn patients has yet to be defined. This was a prospective observational study to determine the incidence of VTE in patients in the burn unit. VTE was defined as a pulmonary embolism, a lower extremity deep vein thrombosis or an upper extremity deep vein thrombosis. Patients chosen for this study were only patients who fit a risk profile such as immobilization, need for mechanical ventilation, paralysis or major surgical procedures. We administer low dose unfractionated heparin at 5000–7500 unit twice a day as well as place pneumatic compression stockings on the patients as a method of VTE prophylaxis. Patients were screened with duplex sonography for the presence of a lower extremity DVT. If there was central venous catheter (CVP) an upper extremity duplex sonogram was performed. There were 310 patients admitted to the burn service during July 2004 and June 2005....

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