Evidence map›Paper›PMID 41806185›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026

Decreasing trend in prophylactic inferior vena cava filter usage: a retrospective analysis of Indications, patient profiles, and complications at a level 1 trauma center in the United States.

Vitor Barbosa Abrantes, Sergio M Navarro, Taleen A MacArthur, Grant M Spears, Nolan C Cirillo-Penn, Beth A Ballinger, Roderick W Davis, Myung S Park

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. 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

What it found

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2 · The registry

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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

8 authors.

Vitor Barbosa AbrantesDivision of Trauma, Department of Surgery, Critical Care and General Surgery, Mayo Clinic, Rochester, MN, USA. abrantes.vitor@mayo.edu.
Sergio M NavarroDivision of Trauma, Department of Surgery, Critical Care and General Surgery, Mayo Clinic, Rochester, MN, USA.
Taleen A MacArthurDivision of Vascular and Endovascular Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Grant M SpearsDivision of Trauma, Department of Surgery, Critical Care and General Surgery, Mayo Clinic, Rochester, MN, USA.
Nolan C Cirillo-PennDivision of Vascular Surgery, University of Minnesota, Minneapolis, MN, USA.
Beth A BallingerDivision of Trauma, Department of Surgery, Critical Care and General Surgery, Mayo Clinic, Rochester, MN, USA.
Roderick W DavisDivision of Trauma, Department of Surgery, Critical Care and General Surgery, Mayo Clinic, Rochester, MN, USA.
Myung S ParkDivision of Trauma, Department of Surgery, Critical Care and General Surgery, Mayo Clinic, Rochester, MN, USA.

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
Venous Thrombosis After Traumatic InjuryR01HL162729 · NHLBI · MAYO CLINIC ROCHESTER · PI Matthew Thomas Auton, MYUNG SOO PARK · 2023 to 2026
$2.6M
Mayo Clinic StARR ProgramR38HL150086 · NHLBI · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC, KARL A. NATH · 2020 to 2026
$2.5M
National Center for Advancing Translational Sciences (NCATS) R01HL162729-02National Center for Advancing Translational Sciences (NCATS) R38HL150086NCATS NIH HHS UL1 TR002377NHLBI NIH HHS R01 HL162729NHLBI NIH HHS R38 HL150086
6 · The paper itself

Abstract

purposeTo analyze trends in the use of prophylactic inferior vena cava (pIVC) filters at a level 1 Trauma Center in the United States and evaluate indications, patient characteristics, and complications.

methodsA retrospective cohort study was conducted on adult trauma patients who received pIVC filters between January 2011 and October 2023. Demographic and clinical variables were collected. Indications, complication rates, and venous thromboembolism (VTE) outcomes were assessed. Temporal trends were analyzed using the Mann-Kendall trend test. Logistic regression analysis was used to identify predictors of VTE.

resultsAmong 300 patients in the cohort, there was a significant decline in pIVC filter use (Tau − 0.846, p < 0.001). Symptomatic VTE occurred in 23% of patients, and 13 (4%) experienced filter-related complications. Filters remained in place > 90 days in 81% of patients. Increased age (OR 1.17 per 10-year increase, p = 0.038), BMI (OR 1.26 per 5-point increase, p = 0.019), and male sex (OR 2.31, p = 0.026) were independently associated with VTE.

conclusionProphylactic IVC filter use in trauma patients has declined significantly in recent years, consistent with guideline-driven recommendations. Despite more selective use, VTE and complication rates remain substantial, emphasizing the importance of careful patient selection and structured retrieval follow-up systems.

Indexed as

Pulmonary EmbolismVena Cava FiltersVenous ThromboembolismWounds and InjuriesAdultFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTrauma CentersUnited StatesMultiple traumaPolytraumaProphylactic inferior vena cava filterTraumaVenous thromboembolism

Identifiers

PMID41806185
PMCPMC13507999

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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.