Evidence map›Paper›PMID 41278465›Full record

ArticleResearch and practice in thrombosis and haemostasis2025

Intermittent pneumatic compression thromboprophylaxis among critically ill children: a single-center retrospective cohort study.

Nikhil Vallabhaneni, Marisol Betensky, A J Caberto, Neil A Goldenberg, Anthony A Sochet

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Article in Research and practice in thrombosis and haemostasis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Nikhil VallabhaneniDepartment of Pediatrics, Division of Pediatric Critical Care Medicine, Medical College of Georgia, Augusta, GA, USA.
Marisol BetenskyDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
A J CabertoData Coordinating Center for Pediatric Multicenter Studies, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Neil A GoldenbergDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Anthony A SochetInstitute for Clinical and Translational Research, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mechanical thromboprophylaxis, including intermittent pneumatic compression (IPC), is administered as primary prevention against hospital-acquired venous thromboembolism (HAVTE) in critically ill children without supportive evidence of VTE risk reduction. Objectives: We aimed to assess the association between IPC thromboprophylaxis and HAVTE in critically ill children. Methods: This was a single-center, retrospective cohort study of children aged <18 years hospitalized in a pediatric intensive care unit from 2020 to 2023. Those with a VTE present on admission or receiving therapeutic anticoagulation were excluded. Patients were classified into HAVTE risk tiers (low, moderate, and high) using previously validated criteria. The primary outcome was radiographically confirmed HAVTE. For each HAVTE risk tier, logistic regression was employed to test associations between HAVTE and IPC thromboprophylaxis, reporting odds ratios (ORs) with 95% CIs. Results: Of 4440 children studied, 30 (0.7%) had a HAVTE diagnosed at a median of 4.2 (IQR: 2.9-8.3) days after hospitalization. IPC was prescribed for 831 (18.7%) children. No association between IPC and HAVTE was detected for patients classified as high risk (OR: 0.27; 95% CI: 0.1-1.4) or moderate risk (OR: 0.81; 95% CI: 0.23-2.82) for HAVTE but was detected for those classified as low risk (OR: 6.3; 95% CI: 1.7-23.7). Conclusion: In this single-center cohort of critically ill children, IPC thromboprophylaxis was commonly prescribed but was not associated with HAVTE risk reduction among patients at high/moderate risk for HAVTE. These findings corroborate recent multicenter administrative database findings and underscore the need for risk-stratified clinical trials to evaluate the efficacy of IPC thromboprophylaxis in critically ill children.

Indexed as

hospital-acquired venous thromboembolismmechanical thromboprophylaxispediatrics

Identifiers

PMID41278465
PMCPMC12634284

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.