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沙特阿拉伯吉达一家三级医疗中心产科患者的静脉血栓栓塞风险评估与预防

Venous Thromboembolism Risk Assessment and Prophylaxis in Obstetrics Patients in a Tertiary Health Center in Jeddah, Saudi Arabia.

作者信息

Noorelahi Ahmed M

机构信息

Internal Medicine, King Abdulaziz University Hospital, Jeddah, SAU.

出版信息

Cureus. 2024 Jul 3;16(7):e63741. doi: 10.7759/cureus.63741. eCollection 2024 Jul.

Abstract

Aim The study aimed to estimate the proportion of patients who were evaluated for thrombosis risk and received appropriate thromboprophylaxis, if indicated, in King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia. Method This was a retrospective cross-sectional study conducted among inpatients from May 1 to August 31, 2020, in KAUH. Results Out of 298 pregnant women, the mean age was 32.09 ± 5.29 years. A total of 136 (45.6%) were obese and 97 (32.6%) were overweight. There was a significant relationship between Caprini score categories and the following variables: age, body mass index (BMI), medical disease, history of deep vein thrombosis (DVT), mode of delivery, prophylaxis, and its duration (p < 0.05). Conclusion Awareness about thromboprophylaxis in reducing the risk of developing venous thrombosis has increased compared to before, with more than half of the cases receiving it regardless of the risk level. The highest risk of venous thromboembolism (VTE) was found in older women, obese women, and those with a previous history of DVT. Low-molecular-weight heparin (LMWH) was the main prophylaxis in the hospital with an average duration of three days.

摘要

目的

本研究旨在评估沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学医院(KAUH)中接受血栓形成风险评估并在有指征时接受适当血栓预防措施的患者比例。方法:这是一项对2020年5月1日至8月31日期间KAUH住院患者进行的回顾性横断面研究。结果:在298名孕妇中,平均年龄为32.09±5.29岁。共有136名(45.6%)为肥胖者,97名(32.6%)为超重者。Caprini评分类别与以下变量之间存在显著关系:年龄、体重指数(BMI)、疾病、深静脉血栓形成(DVT)病史、分娩方式、预防措施及其持续时间(p<0.05)。结论:与以前相比,人们对血栓预防以降低静脉血栓形成风险的认识有所提高,超过一半的病例无论风险水平如何都接受了血栓预防。在老年女性、肥胖女性以及有DVT既往史的女性中发现静脉血栓栓塞(VTE)风险最高。低分子量肝素(LMWH)是该医院的主要预防措施,平均持续时间为三天。

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Epidemiology of venous thromboembolism.静脉血栓栓塞症的流行病学
Nat Rev Cardiol. 2015 Aug;12(8):464-74. doi: 10.1038/nrcardio.2015.83. Epub 2015 Jun 16.

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