Advances in predicting venous thromboembolism risk in children.
Frank RühleMonika StollPublished in: British journal of haematology (2017)
Paediatric venous thromboembolism (VTE) is a rare disorder but a rising incidence has been observed in recent years, due to improved VTE diagnosis and increased use of central venous catheters in the treatment of severe diseases. Risk assessment strategies are well established for adult patients, however, similar guidelines for paediatric patients are largely lacking. Several risk prediction tools have been reported in recent literature, which make use of established risk factors to assess VTE risk in paediatric subgroups, such as hospitalised children, cancer-diagnosed children and paediatric trauma patients. Although these models suffer several limitations regarding their study size and heterogeneous selection of predictor variables, they offer potential for improving the thromboprophylaxis management in these children. Here, we give an overview on recently reported risk prediction models for paediatric VTE.
Keyphrases
- venous thromboembolism
- direct oral anticoagulants
- intensive care unit
- emergency department
- risk factors
- young adults
- risk assessment
- trauma patients
- end stage renal disease
- ejection fraction
- squamous cell carcinoma
- chronic kidney disease
- early onset
- prognostic factors
- clinical practice
- heavy metals
- lymph node metastasis
- patient reported outcomes
- drug induced
- atrial fibrillation