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术后患者静脉血栓栓塞症的患病率及危险因素:一项回顾性研究。

Prevalence and risk factors of venous thromboembolism in postoperative patients: A retrospective study.

作者信息

Edeer Aylin Durmaz, Comez Saadet, Damar Hale Turhan, Savci Aysegul

机构信息

Dr. Aylin Durmaz Edeer, PhD. Department of Surgical Nursing, Dokuz Eylul University, Izmir, Turkey.

Dr. Saadet Comez, PhD. Department of Anesthesia, Mehmet Akif Ersoy University, Burdur, Turkey.

出版信息

Pak J Med Sci. 2018 Nov-Dec;34(6):1539-1544. doi: 10.12669/pjms.346.16021.

Abstract

OBJECTIVE

To investigate the prevalence of and risk factors for Venous Thromboembolism (VTE) in postoperative patients.

METHODS

This descriptive, cross-sectional, retrospective study was conducted from August 2016 to October 2016 at two university hospitals and one public hospital. Total 217,354 patients records who underwent surgery in between 2010 and 2015 were examined. The study sample consisted of 123 patients who had postoperative venous thrombosis and pulmonary embolism, and whose discharge details, consultation data, diagnostic reports, and tests were examined in detail.

RESULTS

The prevalence of VTE in postoperative patients was 5.6/10,000. The mean age of the patients was 60.22±18.56 years. Of 123 patients, 51.20% were male, 30.90% were smokers, 46.30% had a comorbid disease, and 27.60% were diagnosed with cancer. Of the patients who had postoperative VTE, 65.0% had major surgery. Pharmacologic thromboprophylaxis was used in only 24.4% of patients (n=30).

CONCLUSION

The prevalence of VTE in the present study is lower than that in other studies. Because surgery is a risk factor for VTE, patients who will be operated should be assessed. Considering the present results, we can assume that patients' conditions are not being assessed appropriately. In addition, findings indicate that a standard for preventing VTE has not yet been established.

摘要

目的

调查术后患者静脉血栓栓塞症(VTE)的患病率及危险因素。

方法

本描述性、横断面、回顾性研究于2016年8月至2016年10月在两家大学医院和一家公立医院进行。共检查了2010年至2015年间接受手术的217354例患者的记录。研究样本包括123例术后发生静脉血栓形成和肺栓塞的患者,详细检查了他们的出院细节、会诊数据、诊断报告和检查结果。

结果

术后患者VTE的患病率为5.6/10000。患者的平均年龄为60.22±18.56岁。123例患者中,51.20%为男性,30.90%为吸烟者,46.30%患有合并症,27.60%被诊断为癌症。术后发生VTE的患者中,65.0%接受了大手术。仅24.4%的患者(n=30)使用了药物性血栓预防措施。

结论

本研究中VTE的患病率低于其他研究。由于手术是VTE的一个危险因素,应对即将接受手术的患者进行评估。考虑到目前的结果,我们可以假设患者的病情没有得到适当评估。此外,研究结果表明尚未建立预防VTE的标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75b3/6290213/a5362546e63d/PJMS-34-1539-g001.jpg

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