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 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

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
JournalThe Journal of trauma
Volume65
Issue number1
StatePublished - Jul 2008

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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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chung, K. K., Blackbourne, L. H., Renz, E. M., Cancio, L. C., Wang, J., Park, M. S., ... Holcomb, J. B. (2008). Global evacuation of burn patients does not increase the incidence of venous thromboembolic complications. The Journal of trauma, 65(1), 19-24.

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 S.; Horvath, Edward E.; Albrecht, Michael C.; White, Christopher E.; Wanek, Sandra M.; Barillo, David J.; Wolf, Steven E.; Holcomb, John B.

In: The Journal of trauma, 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, MS, 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.', The Journal of trauma, vol. 65, no. 1, pp. 19-24.
Chung KK, Blackbourne LH, Renz EM, Cancio LC, Wang J, Park MS et al. Global evacuation of burn patients does not increase the incidence of venous thromboembolic complications. The Journal of trauma. 2008 Jul;65(1):19-24.
Chung, Kevin K. ; Blackbourne, Lorne H. ; Renz, Evan M. ; Cancio, Leopoldo C. ; Wang, Jingjing ; Park, Myung 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: The Journal of trauma. 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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AU - Renz, Evan M.

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AU - Wang, Jingjing

AU - Park, Myung 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.

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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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