Risk factors and awareness of deep vein thrombosis among outpatients in Shanghai community hospitals:a multi-center study
10.3969/j.issn.1009-0126.2023.12.014
- VernacularTitle:上海市多中心社区医院门诊患者深静脉血栓风险因素分析及认知水平评估
- Author:
Jian FAN
1
;
Xuefeng GAO
;
Zhenlei WANG
;
Fei SHEN
;
Kai HUANG
;
Wanmin WANG
;
Yan SHANG
;
Jiayi ZHAO
Author Information
1. 200433 上海,海军军医大学第一附属医院全科医学科
- Keywords:
venous thromboembolism;
risk factors;
cognition;
logistic models;
outpatients;
surveys and questionnaires
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2023;25(12):1289-1292
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors and awareness level of deep vein thrombosis(DVT)in elderly outpatients in Shanghai community hospitals.Methods A total of 710 elderly outpatients were subjected with random sampling from 10 community hospitals in Shanghai.Au-tar deep vein thrombosis risk assessment scale and venous thromboembolism(VTE)self-manage-ment ability related knowledge scale were used to conduct questionnaire investigation.The influ-encing factors for risk level of DVT and for VTE self-management ability score were analyzed in these patients.Results The high-risk DVT group had significantly larger proportions of aged 65 years,primary school education or below,chronic diseases,BMI≥28 kg/m2,and suburban resi-dents than the low-risk DVT patients(88.0％vs 50.9％,65.5％vs 26.5％,94.8％vs 86.2％,12.9％vs 5.2％,58.2％vs 43.9％,P＜0.01).Multivariate logistic regression analysis showed that age,education level,chronic disease,multimorbidity,BMI and residential area were independent risk factors for risk level of DVT in the elderly outpatients in community hospitals(P＜0.05,P＜0.01).Hypertension,cerebral infarction,cerebral hemorrhage and malignant tumors were inde-pendent risk diseases of DVT in the patients with multimorbidity(P＜0.01).Age,education lev-el,chronic diseases,BMI,smoking,residential area and other factors were related to the score of VTE self-management(P＜0.05,P＜0.01).Conclusion General practitioners should pay close attention to the elderly outpatients in community hospitals,with characteristics of advanced age,obesity,lower education level,chronic disease,multimorbidity and living in suburban area,espe-cially those with multiple diseases.What's more,awareness of risk for DVT and self-management ability should be improved simultaneously.
