Global evacuation of burn patients does not increase the incidence of venous thromboembolic complications

Kevin K. Chung, Lorne H. Blackbourne, Evan M. Renz, Leopoldo C. Cancio, Jingjing Wang, Myung (Michelle) S Park, Edward E. Horvath, Michael C. Albrecht, Christopher E. White, Sandra M. Wanek, David J. Barillo, Steven E. Wolf, John B. Holcomb

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background: Case-control studies have suggested that air travel may be a risk factor for the development of Venous Thromboembolism (VTE). Burned patients from the current war in Iraq and Afghanistan, are transported across three continents to our Burn Center with total ground and air transport time being approximately 24 hours spread over 3 days to 4 days. We hypothesized global evacuation results in increased VTE rates. Methods: Retrospective review of 1,107 consecutive patients admitted to our burn center from January 2003 to December 2005. Results: In the time period evaluated, no detectible differences were found in incidence of VTE between air-evacuated soldiers and those admitted to our facility from South Texas (1.31% vs. 0.83%, p = ns). The air-evacuated soldiers were younger (26 ± 7 vs. 41 ± 19, p < 0.0001) but had a higher incidence of inhalation injury (14.4% vs. 8.0%, p < 0.0001) and higher Injury Severity Score (10.9 ± 13.0 vs. 6.5 ± 9.2, p < 0.0001). No difference in average percent total body surface area involvement was found (15.8 ± 19.4 vs. 15.5 ± 18.4, p = ns). Overall, 11 of 1,107 (0.99%) burned patients developed VTE. Conclusion: Prolonged global evacuation is not associated with increased risk of VTE.

Original languageEnglish (US)
Pages (from-to)19-24
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume65
Issue number1
DOIs
StatePublished - Jul 2008
Externally publishedYes

Fingerprint

Venous Thromboembolism
Incidence
Burn Units
Air
Military Personnel
Air Travel
Afghanistan
Iraq
Injury Severity Score
Body Surface Area
Inhalation
Case-Control Studies
Wounds and Injuries

Keywords

  • Air travel
  • Burn
  • Deep vein thrombosis
  • Evacuation
  • Global
  • Injury
  • Pulmonary embolism
  • Thromboembolism
  • Trauma
  • Venous

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Global evacuation of burn patients does not increase the incidence of venous thromboembolic complications. / Chung, Kevin K.; Blackbourne, Lorne H.; Renz, Evan M.; Cancio, Leopoldo C.; Wang, Jingjing; Park, Myung (Michelle) S; Horvath, Edward E.; Albrecht, Michael C.; White, Christopher E.; Wanek, Sandra M.; Barillo, David J.; Wolf, Steven E.; Holcomb, John B.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 65, No. 1, 07.2008, p. 19-24.

Research output: Contribution to journalArticle

Chung, KK, Blackbourne, LH, Renz, EM, Cancio, LC, Wang, J, Park, MMS, Horvath, EE, Albrecht, MC, White, CE, Wanek, SM, Barillo, DJ, Wolf, SE & Holcomb, JB 2008, 'Global evacuation of burn patients does not increase the incidence of venous thromboembolic complications', Journal of Trauma - Injury, Infection and Critical Care, vol. 65, no. 1, pp. 19-24. https://doi.org/10.1097/TA.0b013e3181271b8a
Chung, Kevin K. ; Blackbourne, Lorne H. ; Renz, Evan M. ; Cancio, Leopoldo C. ; Wang, Jingjing ; Park, Myung (Michelle) S ; Horvath, Edward E. ; Albrecht, Michael C. ; White, Christopher E. ; Wanek, Sandra M. ; Barillo, David J. ; Wolf, Steven E. ; Holcomb, John B. / Global evacuation of burn patients does not increase the incidence of venous thromboembolic complications. In: Journal of Trauma - Injury, Infection and Critical Care. 2008 ; Vol. 65, No. 1. pp. 19-24.
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abstract = "Background: Case-control studies have suggested that air travel may be a risk factor for the development of Venous Thromboembolism (VTE). Burned patients from the current war in Iraq and Afghanistan, are transported across three continents to our Burn Center with total ground and air transport time being approximately 24 hours spread over 3 days to 4 days. We hypothesized global evacuation results in increased VTE rates. Methods: Retrospective review of 1,107 consecutive patients admitted to our burn center from January 2003 to December 2005. Results: In the time period evaluated, no detectible differences were found in incidence of VTE between air-evacuated soldiers and those admitted to our facility from South Texas (1.31{\%} vs. 0.83{\%}, p = ns). The air-evacuated soldiers were younger (26 ± 7 vs. 41 ± 19, p < 0.0001) but had a higher incidence of inhalation injury (14.4{\%} vs. 8.0{\%}, p < 0.0001) and higher Injury Severity Score (10.9 ± 13.0 vs. 6.5 ± 9.2, p < 0.0001). No difference in average percent total body surface area involvement was found (15.8 ± 19.4 vs. 15.5 ± 18.4, p = ns). Overall, 11 of 1,107 (0.99{\%}) burned patients developed VTE. Conclusion: Prolonged global evacuation is not associated with increased risk of VTE.",
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T1 - Global evacuation of burn patients does not increase the incidence of venous thromboembolic complications

AU - Chung, Kevin K.

AU - Blackbourne, Lorne H.

AU - Renz, Evan M.

AU - Cancio, Leopoldo C.

AU - Wang, Jingjing

AU - Park, Myung (Michelle) S

AU - Horvath, Edward E.

AU - Albrecht, Michael C.

AU - White, Christopher E.

AU - Wanek, Sandra M.

AU - Barillo, David J.

AU - Wolf, Steven E.

AU - Holcomb, John B.

PY - 2008/7

Y1 - 2008/7

N2 - Background: Case-control studies have suggested that air travel may be a risk factor for the development of Venous Thromboembolism (VTE). Burned patients from the current war in Iraq and Afghanistan, are transported across three continents to our Burn Center with total ground and air transport time being approximately 24 hours spread over 3 days to 4 days. We hypothesized global evacuation results in increased VTE rates. Methods: Retrospective review of 1,107 consecutive patients admitted to our burn center from January 2003 to December 2005. Results: In the time period evaluated, no detectible differences were found in incidence of VTE between air-evacuated soldiers and those admitted to our facility from South Texas (1.31% vs. 0.83%, p = ns). The air-evacuated soldiers were younger (26 ± 7 vs. 41 ± 19, p < 0.0001) but had a higher incidence of inhalation injury (14.4% vs. 8.0%, p < 0.0001) and higher Injury Severity Score (10.9 ± 13.0 vs. 6.5 ± 9.2, p < 0.0001). No difference in average percent total body surface area involvement was found (15.8 ± 19.4 vs. 15.5 ± 18.4, p = ns). Overall, 11 of 1,107 (0.99%) burned patients developed VTE. Conclusion: Prolonged global evacuation is not associated with increased risk of VTE.

AB - Background: Case-control studies have suggested that air travel may be a risk factor for the development of Venous Thromboembolism (VTE). Burned patients from the current war in Iraq and Afghanistan, are transported across three continents to our Burn Center with total ground and air transport time being approximately 24 hours spread over 3 days to 4 days. We hypothesized global evacuation results in increased VTE rates. Methods: Retrospective review of 1,107 consecutive patients admitted to our burn center from January 2003 to December 2005. Results: In the time period evaluated, no detectible differences were found in incidence of VTE between air-evacuated soldiers and those admitted to our facility from South Texas (1.31% vs. 0.83%, p = ns). The air-evacuated soldiers were younger (26 ± 7 vs. 41 ± 19, p < 0.0001) but had a higher incidence of inhalation injury (14.4% vs. 8.0%, p < 0.0001) and higher Injury Severity Score (10.9 ± 13.0 vs. 6.5 ± 9.2, p < 0.0001). No difference in average percent total body surface area involvement was found (15.8 ± 19.4 vs. 15.5 ± 18.4, p = ns). Overall, 11 of 1,107 (0.99%) burned patients developed VTE. Conclusion: Prolonged global evacuation is not associated with increased risk of VTE.

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KW - Deep vein thrombosis

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KW - Injury

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KW - Venous

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