Prophylactic Inferior Vena Cava Filter Placement Does Not Result in a Survival Benefit for @entity130 XXXX .

@entity1 @entity1150 @entity1211 @entity130
OBJECTIVE: @entity130 @entity1 are at high risk for life-threatening @entity1211 ( @entity1211 ) events. We examined the relationship between prophylactic inferior vena cava (IVC) filter use, mortality, and @entity1211 . SUMMARY BACKGROUND DATA: The prevalence of prophylactic placement of IVC filters has increased among @entity130 @entity1 . However, there exists little data on the overall efficacy of prophylactic IVC filters with regard to outcomes. METHODS: @entity130 quality collaborative data from 2010 to 2014 were analyzed. @entity1 were excluded with no signs of life, Injury Severity Score <9, hospitalization <3 days, or who received IVC filter after occurrence of @entity1211 event. Risk-adjusted rates of IVC filter placement were calculated and hospitals placed into quartiles of IVC filter use. Mortality rates by quartile were compared. We also determined the association of @entity1150 ( @entity1150 ) with the presence of an IVC filter, accounting for type and timing of initiation of pharmacological @entity1211 prophylaxis. RESULTS: A prophylactic IVC filter was placed in 803 (2%) of 39,456 @entity1 . Hospitals exhibited significant variability (0.6% to 9.6%) in adjusted rates of IVC filter utilization. Rates of IVC placement within quartiles were 0.7%, 1.3%, 2.1%, and 4.6%, respectively. IVC filter use quartiles showed no variation in mortality. Adjusting for pharmacological @entity1211 prophylaxis and @entity1 factors, prophylactic IVC filter placement was associated with an increased incidence of @entity1150 (OR=1.83; 95% CI, 1.15-2.93, P-value=0.01). CONCLUSIONS: High rates of prophylactic IVC filter placement have no effect on reducing @entity130 @entity1 mortality and are associated with an increase in @entity1150 events.
