Asian Spine J, 2016 · DOI: 10.4184/asj.2016.10.5.972 · Published: October 1, 2016
This study reviews the risk of blood clots in the lungs (pulmonary embolism) and deep veins (deep vein thrombosis) in people with spinal cord injuries during the sub-acute phase, which is 3–6 months after the injury. The authors looked at previous studies to find out how common these blood clots are during this time and what kind of treatments are used to prevent them. The review found that spinal cord injury patients continue to have a significant risk of blood clots even after the initial injury period. Doctors should therefore be vigilant about the possibility of blood clots and consider continuing preventative treatments for a longer time.
Consider extending thromboprophylaxis beyond the standard 3 months in SCI patients.
Maintain a low threshold for suspecting VTE in SCI patients during the sub-acute phase.
Conduct larger, well-documented prospective cohort studies to determine precise VTE incidence rates.