Deep Vein Thrombosis among Intensive Care Unit Patients; an Epidemiologic Study
<p class="NormalRaggedRight"><strong>Introduction: </strong>Deep vein thrombosis (DVT) is a major cause of morbidity and mortality in intensive care unit (ICU) patients despite use of prophylactic anticoagulant therapy. The aim of the present study was to determine the in...
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Format: | Article |
Language: | English |
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Shahid Beheshti University of Medical Sciences
2016-12-01
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Series: | Emergency |
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Online Access: | http://journals.sbmu.ac.ir/emergency/article/view/11622 |
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author | Mir Mohammad Miri Reza Goharani Mohammad Sistanizad |
author_facet | Mir Mohammad Miri Reza Goharani Mohammad Sistanizad |
author_sort | Mir Mohammad Miri |
collection | DOAJ |
description | <p class="NormalRaggedRight"><strong>Introduction: </strong>Deep vein thrombosis (DVT) is a major cause of morbidity and mortality in intensive care unit (ICU) patients despite use of prophylactic anticoagulant therapy. The aim of the present study was to determine the incidence of DVT among medical and surgical ICU patients.</p><p class="NormalRaggedRight"><strong>Methods: </strong>In this cross sectional study, patients older than 18 years who were hospitalized in the ICU of Imam Hossein educational Hospital, Tehran, Iran, for ≥ 2 days, during August 2008 to July 2011 were evaluated regarding DVT incidence. Demographic data, comorbidities, acute physiology and chronic health evaluation (APACHE) II scores, ICU length of stay, type of DVT prophylaxis, and patient outcomes were analyzed using SPSS 19.</p><p class="NormalRaggedRight"><strong>Results: </strong>Out of the 1387 reviewed patient files, 500 (36.04%) patients had been classified as potential DVT cases. DVT occurred in 3.5% of them with the mean age of 60 ± 18 years (62.5% male) and mortality rate of 27.1%. Significant independent risk factors of DVT incidence were age (p = 0.02) and length of ICU stay (p = 0.01).</p><p><strong>Conclusion: </strong>The results of this study showed the 3.5% incidence of DVT in ICU admitted patients. Longer ICU stay and older age were independent risk factors of DVT development.</p> |
first_indexed | 2024-12-13T04:45:55Z |
format | Article |
id | doaj.art-45a28956ff784d378b1de4be9e0f647c |
institution | Directory Open Access Journal |
issn | 2345-4563 2345-4571 |
language | English |
last_indexed | 2024-12-13T04:45:55Z |
publishDate | 2016-12-01 |
publisher | Shahid Beheshti University of Medical Sciences |
record_format | Article |
series | Emergency |
spelling | doaj.art-45a28956ff784d378b1de4be9e0f647c2022-12-21T23:59:09ZengShahid Beheshti University of Medical SciencesEmergency2345-45632345-45712016-12-0151e13e1310.22037/emergency.v5i1.116226689Deep Vein Thrombosis among Intensive Care Unit Patients; an Epidemiologic StudyMir Mohammad Miri0Reza Goharani1Mohammad Sistanizad2Department of Critical Care, Imam Hussein Medical and Educational Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Critical Care, Imam Hussein Medical and Educational Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.1-Department of Critical Care, Imam Hussein Medical and Educational Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2-Department of Clinical Pharmacy, Faculty of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran<p class="NormalRaggedRight"><strong>Introduction: </strong>Deep vein thrombosis (DVT) is a major cause of morbidity and mortality in intensive care unit (ICU) patients despite use of prophylactic anticoagulant therapy. The aim of the present study was to determine the incidence of DVT among medical and surgical ICU patients.</p><p class="NormalRaggedRight"><strong>Methods: </strong>In this cross sectional study, patients older than 18 years who were hospitalized in the ICU of Imam Hossein educational Hospital, Tehran, Iran, for ≥ 2 days, during August 2008 to July 2011 were evaluated regarding DVT incidence. Demographic data, comorbidities, acute physiology and chronic health evaluation (APACHE) II scores, ICU length of stay, type of DVT prophylaxis, and patient outcomes were analyzed using SPSS 19.</p><p class="NormalRaggedRight"><strong>Results: </strong>Out of the 1387 reviewed patient files, 500 (36.04%) patients had been classified as potential DVT cases. DVT occurred in 3.5% of them with the mean age of 60 ± 18 years (62.5% male) and mortality rate of 27.1%. Significant independent risk factors of DVT incidence were age (p = 0.02) and length of ICU stay (p = 0.01).</p><p><strong>Conclusion: </strong>The results of this study showed the 3.5% incidence of DVT in ICU admitted patients. Longer ICU stay and older age were independent risk factors of DVT development.</p>http://journals.sbmu.ac.ir/emergency/article/view/11622APACHEultrasonography, Dopplervenous thrombosisintensive care units |
spellingShingle | Mir Mohammad Miri Reza Goharani Mohammad Sistanizad Deep Vein Thrombosis among Intensive Care Unit Patients; an Epidemiologic Study Emergency APACHE ultrasonography, Doppler venous thrombosis intensive care units |
title | Deep Vein Thrombosis among Intensive Care Unit Patients; an Epidemiologic Study |
title_full | Deep Vein Thrombosis among Intensive Care Unit Patients; an Epidemiologic Study |
title_fullStr | Deep Vein Thrombosis among Intensive Care Unit Patients; an Epidemiologic Study |
title_full_unstemmed | Deep Vein Thrombosis among Intensive Care Unit Patients; an Epidemiologic Study |
title_short | Deep Vein Thrombosis among Intensive Care Unit Patients; an Epidemiologic Study |
title_sort | deep vein thrombosis among intensive care unit patients an epidemiologic study |
topic | APACHE ultrasonography, Doppler venous thrombosis intensive care units |
url | http://journals.sbmu.ac.ir/emergency/article/view/11622 |
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