Table 2 Traumatic brain injury (TBI) venous thromboembolism (VTE) prevention clinical practice guideline. Modified Berne-Norwood criteria for VTE risk in TBI patients
Low Risk | Moderate Risk | High Risk |
|---|---|---|
• No moderate or high risk criteria | • Subdural or epidural hematoma > 8 mm | • Placement of an intracranial pressure monitor |
• Contusion or intraventricular hemorrhage > 2 cm | • Craniotomy | |
• Multiple contusions per lobe | • Evidence of progression at 72 h | |
• Subarachnoid hemorrhage with abnormal CT | ||
• Evidence of progression at 24 h | ||
• Initiate pharmacologic prophylaxis if repeat head computed tomography (CT) stable at 24 h | • Initiate pharmacologic prophylaxis if head CT stable at 72 h | • Consider placement of an inferior vena cava filter |