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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Main Authors: Mir Mohammad Miri, Reza Goharani, Mohammad Sistanizad
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2016-12-01
Series:Emergency
Subjects:
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>
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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
work_keys_str_mv AT mirmohammadmiri deepveinthrombosisamongintensivecareunitpatientsanepidemiologicstudy
AT rezagoharani deepveinthrombosisamongintensivecareunitpatientsanepidemiologicstudy
AT mohammadsistanizad deepveinthrombosisamongintensivecareunitpatientsanepidemiologicstudy