Experience with the management of thromboembolism in patients with spinal cord injury: part I. incidence, diagnosis and role of some risk factors

Abstract

Abstract. Fifty acute SCI patients are reviewed retrospectively for incidence of deep vein thrombosis and pulmonary embolism and the problems encountered in the diagnosis. The possible role of some risk factors in triggering thromboembolism and the consequent implications in anticoagulant therapy are discussed.

Acute spinal cord injuries and the incidence of clinically occurring thromboembolic disease

“…Guttmann reported that DVT does not occur in children and young adults, but it is more common in females (Guttmann, 1976). Perkash stated that the level of injury and age has no striking correlation with thromboembolism (Perkash et al, 1978).…”

Experience with the management of deep vein thrombosis in patients with spinal cord injury

“…Some of the factors which may be of significance in prophylaxis were discussed in an earlier communication (Perkash et al, 1978). The guidelines derived from our experience of therapeutic anticoagulation are discussed here.…”

“…The emphasis here is not on the statistics of a clinical trial, but on the outcome of therapy given and the problems involved in practical management of anticoagulation. The incidence and diagnosis of thromboembolism in these patients has been described in an earlier communication (Perkash et al, 1978).…”

Fever and thromboembolic disease in acute spinal cord injury

“…Surprisingly, in the spinal cord literature, the few papers (Kakkar, 1969;Perkash, 1978;Sugarman, 1982;Walsh, 1965) that do mention fever in relationship to T .E.D. either do so in only vague passing reference (J arrel, 1983;Walsh, 1965) or do not adequately rule out other possible etiologies (Perkash, 1978;Sugarman, 1982). No paper reviewed specifically addressed this issue, and in light of the near total omission of this crucial fact from the S.c.I.…”