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首页> 外文期刊>Journal of Anaesthesiology Clinical Pharmacology >Deep vein thrombosis in medical and surgical Intensive Care Unit patients in a Tertiary Care Centre in North India: Incidence and risk factors
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Deep vein thrombosis in medical and surgical Intensive Care Unit patients in a Tertiary Care Centre in North India: Incidence and risk factors

机译：印度北部三级医疗中心内科和外科重症监护病房患者的深静脉血栓形成：发病率和危险因素

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Background and Aims: Deep venous thrombosis (DVT) prophylaxis is underutilized, and there is a paucity of data reflecting the incidence of DVT in Indian Intensive Care Unit (ICU) population. We sought to evaluate the incidence and risk factors for DVT in medical and surgical ICU patients with DVT prophylaxis. Material and Methods: The ICU patients more than 18 years old, expected to be in the ICU for more than 48 h were enrolled and DVT prophylaxis were given as per risk and were observed for clinical signs of DVT along with duplex ultrasound until in ICU. The patients receiving anticoagulant for some other reasons were excluded along with those with pregnancy, congenital coagulation disorders and terminal illness. Results: The incidence of DVT was 0.8% (95% confidence interval: 0.78-0.81) in mixed populations (1.6% in medical and 0.5% in surgical). The higher DVT score (DVT (+) 10.75 ± 2.06/DVT (?) 8.75 ± 1.7 P = 0. 0264), Acute physiology and chronic health evaluation (APACHE) IV score (DVT positive patient - DVT (+) 59.25 ± 15.06/DVT negative patients - DVT (?) 44.01 ± 13.74) P = 0. 0292), length of ICU stay ([DVT (+) 26.75 ± 12.87 days/DVT (?) 5.19 ± 6.18] P P = 0. 023) were associated with DVT. Conclusion: The incidence of DVT was 0.8% with prophylaxis. High DVT and APACHE IV score were associated with DVT. Prolonged ICU stay and vasopressors were the risk factors.
机译：背景与目的：预防深静脉血栓形成（DVT）的方法未得到充分利用，并且缺乏反映DVT在印度重症监护病房（ICU）人群中发病率的数据。我们试图评估预防DVT的医学和外科ICU患者DVT的发生率和危险因素。材料和方法：招募超过18岁，预计在ICU中待超过48小时的ICU患者，并根据风险进行DVT预防，并观察DVT的临床体征和双工超声检查，直至进入ICU。因其他原因接受抗凝治疗的患者，以及那些患有妊娠，先天性凝血疾病和绝症的患者均被排除在外。结果：混合人群中DVT的发生率为0.8％（95％置信区间：0.78-0.81）（医学上为1.6％，外科手术上为0.5％）。 DVT评分较高（DVT（+）10.75±2.06 / DVT（？）8.75±1.7 P = 0.0264），急性生理和慢性健康评估（APACHE）IV评分（DVT阳性患者-DVT（+）59.25±15.06 / DVT阴性患者-DVT（？）44.01±13.74）P = 0.0292），ICU住院时间（[DVT（+）26.75±12.87天/ DVT（？）5.19±6.18] PP = 0.023）与DVT相关。结论：DVT的发生率为0.8％。高DVT和APACHE IV评分与DVT相关。延长ICU住院时间和使用升压药是危险因素。

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