Deep Vein Thrombosis at Lower Extremities in Severe Burn Patients.
- Author:
Gyu Seong CHOI
1
;
Si Wook WOO
;
Dohern KIM
;
Joon HUR
;
Wook CHUN
;
Hee Jun KANG
;
Dae Kun YOON
;
Sung Eun CHEON
;
Sung Gil PARK
;
Jae Jung LEE
Author Information
1. Department of General Surgery, College of Medicine, Hallym University, Seoul, Korea. Dohern@hallym.ac.kr
- Publication Type:Original Article
- Keywords:
Burn;
Deep vein thrombosis;
Risk factor
- MeSH:
Burn Units;
Burns*;
Diagnosis;
Edema;
Extremities;
Heart Failure;
Humans;
Incidence;
Length of Stay;
Lower Extremity*;
Obesity, Morbid;
Polycythemia Vera;
Risk Factors;
Skin;
Transplants;
Veins;
Venous Thrombosis*;
Wound Healing;
Wound Infection
- From:Journal of the Korean Society for Vascular Surgery
2004;20(1):106-110
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In major burns, deep vein thrombosis (DVT) is frequently diagnosed as a major complication of burns. But the risk factors and prophylaxis remain controversial. This study was designed to evaluate the incidence and risk factors of DVT in major burn patients. METHOD: We reviewed all major burn patients (>40% of TBSA) admitted to our burn center from June 1998 to August 2003 and assessed each affected patients with an in-hospital diagnosis of DVT for DVT risk factors. RESULT: There were 9 symptomatic DVT detected among 606 severe burn patients (1.45% incidence). Patients diagnosed with DVT had no risk factors of morbid obesity, previous DVT, congestive heart failure or neoplastic disease, except one patient who had a polycythemia vera diagnosed incidentally. In eight of 9 patients, DVT occurred in veins draining burned extremities. All patients had burn wound infections as a complication of burns. Eight of 9 patients had longer hospital stays than patients without DVTs. In all patients, DVT was developed after operations for skin graft. CONCLUSION: DVT should be suspected in patients with delayed wound healing and unresolved edema of extrimites. Wound infection, long bed-ridden state and operations are significant risk factors for DVT formation in major burn patients.
