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埃塞俄比亚锡达马州哈瓦萨市哈瓦萨大学综合专科医院住院成年患者深静脉血栓形成的发生率及相关因素:回顾性队列研究。

Incidence and factors associated with deep vein thrombosis among hospitalized adult patients at Hawassa university comprehensive specialized hospital Hawassa city, Sidama, Ethiopia: retrospective cohort study.

机构信息

School of Public Health, Hawassa University, Hawassa, Ethiopia.

Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia.

出版信息

J Thromb Thrombolysis. 2024 Jan;57(1):164-174. doi: 10.1007/s11239-023-02889-5. Epub 2023 Sep 13.

DOI:10.1007/s11239-023-02889-5
PMID:37704907
Abstract

PURPOSE

Deep vein thrombosis is a public health problem with substantial morbidity and mortality globally. In Ethiopia, death due to complications of DVT is very significant however its incidence, risk factors, and preventive methods are not well studied. To assess the incidence and factors associated with deep vein thrombosis among hospitalized adult patients at Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia.

METHOD

Intuitional-based retrospective study design was employed in July1-August 30, 2022 in 660 randomly selected patients' record cards. The patients' record cards were reviewed from 2012 to 2014 at Hawassa University Compressive Specialized Hospital. The data entry and analysis were done by using Epi Info and SPSS version 24. After adjusting covariates at a 95% confidence interval, an independent variable with a P value < 0.05 was declared significantly associated with deep vein thrombosis. An odds ratio was calculated to measure the strength of the relationship independent variable and deep vein thrombosis.

RESULTS

The overall incidence of DVT was 10.6% [95% CI: 8.5%, 13.1%]. After adjusting for covariates, orthopedic trauma; AOR = 2.6 (95% CI (1.2-5.4), corona virus; AOR = 2.5 (95%CI (1.07-5.1), and hospital stay > 15 days; AOR = 2.2 (95% CI (1.25-3.94) were significantly associated with deep vein thrombosis.

CONCLUSION

DVT incidence is high among hospitalized patients. An orthopedic trauma, a recent infection of the coronavirus, and a hospital stay above 15 days were a risk to acquire deep vein thrombosis. Early identification and detection of patients at high risk of developing DVT and provision of prophylaxis are recommended.

摘要

目的

深静脉血栓形成是一个具有全球重大发病率和死亡率的公共卫生问题。在埃塞俄比亚,由于深静脉血栓形成的并发症而死亡的人数非常多,然而其发病率、危险因素和预防方法尚未得到很好的研究。本研究旨在评估在埃塞俄比亚 Hawassa 大学综合专科医院住院的成年患者中深静脉血栓形成的发生率和相关因素。

方法

本研究采用 2022 年 7 月 1 日至 8 月 30 日期间在 660 名随机选择的患者病历卡中进行的基于机构的回顾性研究设计。对 Hawassa 大学综合专科医院 2012 年至 2014 年的患者病历卡进行了回顾。数据录入和分析使用 Epi Info 和 SPSS 版本 24 完成。在 95%置信区间调整协变量后,P 值<0.05 的自变量被宣布与深静脉血栓形成显著相关。计算比值比来衡量自变量与深静脉血栓形成的关系强度。

结果

深静脉血栓形成的总发生率为 10.6%[95%CI:8.5%,13.1%]。在调整协变量后,骨科创伤;AOR=2.6(95%CI(1.2-5.4))、冠状病毒感染;AOR=2.5(95%CI(1.07-5.1))和住院时间>15 天;AOR=2.2(95%CI(1.25-3.94))与深静脉血栓形成显著相关。

结论

住院患者深静脉血栓形成的发生率较高。骨科创伤、近期冠状病毒感染和住院时间超过 15 天是发生深静脉血栓形成的危险因素。建议早期识别和检测有发生深静脉血栓形成风险的患者,并提供预防措施。

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