Risk factors of venous thromboembolism among inpatients：a case-control study
10.3760/cma.j.issn.1674-2907.2016.24.009
- VernacularTitle:住院患者静脉血栓栓塞症危险因素的病例对照研究
- Author:
Chengyuan LIU
1
;
Xiaohan LIU
;
Xi CHEN
;
Wenwen WU
;
Gendi LU
Author Information
1. 200003 上海，第二军医大学附属长征医院护理教研室
- Keywords:
Venous thromboembolism;
Risk factors;
Case-control study;
Retrospective analysis
- From:
Chinese Journal of Modern Nursing
2016;22(24):3434-3437
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigated the current situation and to explore the risk factors of venous thromboembolism ( VTE) among inpatients according to the retrospective analysis. Methods 539 VTE patients who had treated in a grade III class A hospital in Shanghai during September 2011 to September 2014 were chosen as the case group. The control group included patients who had no VTE but treated in the same hospital during that time. The clinical data of the participants were collected and retrospectively analyzed.Results Univariate analysis demonstrated significant differences in age ( t=5.421, P<0.05) , BMI>25 kg/m2 , major surgery, malignancy, VTE history, pneumonia, central venous catheter, stay in bed>72 h, stroke, immobilization, pelvis/lower extremity fractures, and joint arthroplasty between the two groups (χ2=9.868, 29.711, 16.230, 48.050,5. 613, 16.443, 5.735, 20.403, 4.340, 20.646, 10.343; P<0.05). Furthermore, the logistic regression analysis indicated that the risk factors of VTE were related to stroke[OR=6.414 (2.421,16.995)], joint arthroplasty [OR=5.718(1.268,25.777)], pelvic/lowers extremity fractures[OR=4.918 (2.074,11.659)], central venous catheters[OR=3.446 (1.671,7.107)], surgery history[OR=2.245 (1.338,3.767)], major surgery [ OR=2.189 ( 1. 553, 3. 085 ) ] , BMI>25 kg/m2 [ OR=1. 913 ( 1. 450, 2. 523 ) ] , malignancy [ OR=1. 713 (1. 184,2.477)], and age[OR=1.559 (1.343,1.810)].Conclusions More specific preventive strategies should be focused on and implemented to VTE patients as they suffered from various risk factors at the same time.
