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首页> 外文期刊>Emergency medicine Australasia: EMA >Review article: Do inferior vena cava filters prevent pulmonary embolism in critically ill trauma patients and does the benefit outweigh the risk of insertion? A narrative review article
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Review article: Do inferior vena cava filters prevent pulmonary embolism in critically ill trauma patients and does the benefit outweigh the risk of insertion? A narrative review article

机译：审查文章：下腔静脉过滤器防止肺栓塞在危重创伤性患者中，是否有益于插入的风险？ 一个叙述审查文章

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摘要

Abstract Venous thromboembolic disease (VTE) increases the risk of mortality in trauma patients. To decrease the occurrence of VTE, low dose anticoagulants are commonly prescribed. This may be unacceptable in trauma patients who have a high risk of bleeding. Inferior vena cava (IVC) filters can be employed as an alternative strategy to decrease the risk of pulmonary embolism (PE). Insertion of an IVC filter is an invasive procedure that has a range of complications. The benefits of IVC filter insertion must be compared to its risk of complications in each individual patient. A search of the literature since 2005 was conducted on MEDLINE, Evidence‐Based Medicine Reviews, Cochrane Central Register of Controlled Trials and Embase. The clinical question posed was does prophylactic IVC filter insertion decrease the risk of PE in trauma patients? The available evidence was low level and unable to definitively answer this question. The majority of articles infer that IVC filter insertion is safe and may decrease the risk of PE. However, there is a need for well‐designed randomised controlled trials to be conducted in this area.
机译：摘要静脉血栓栓塞疾病（VTE）增加了创伤患者死亡率的风险。为了减少VTE的发生，通常规定低剂量抗凝血剂。这可能在具有高风险出血的创伤患者中是不可接受的。较差的腔静脉（IVC）过滤器可作为降低肺栓塞风险（PE）的替代策略。 IVC过滤器的插入是一种具有一系列并发症的侵入性程序。 IVC过滤器插入的益处必须与每个患者的并发症的风险进行比较。自2005年以来的搜索搜索是在Medline，循证医学评论，Cochrane中央登记术中进行的对照试验和Embase进行了搜索。提出的临床问题是预防性IVC过滤器插入的抑制患者中PE的风险吗？可用证据较低，无法肯定地回答这个问题。大多数文章推断，IVC过滤器插入是安全的，可能降低PE的风险。然而，需要在该地区进行精心设计的随机对照试验。

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