Prevalence and incidence of deep venous thrombosis among patients in medical intensive care unit
10.3321/j.issn:0254-6450.2008.10.019
- VernacularTitle:内科重症监护病房中深静脉血栓的发病情况及危险因素分析
- Author:
Xiao-Feng XU
1
;
Yuan-Hua YANG
;
Zhen-Guo ZHAI
;
Shuang LIU
;
Guang-Fa ZHU
;
Chun-Sheng LI
;
Chen WANG
Author Information
1. 首都医科大学附属北京安贞医院
- Keywords:
Deep venous thrombosis;
Intensive care unit;
Risk factor
- From:
Chinese Journal of Epidemiology
2008;29(10):1034-1037
- CountryChina
- Language:Chinese
-
Abstract:
Objective A cross-sectional study was carried out to observe the prevalence.Incidence and risk factors of deep venous thrombosis(DVT)in patients from intensive care unit(ICU).Methods Patients who were admitted to respiratory intensive care unit(RICU)and emergency intensive care unit (EICU)of Beijing Chaoyang Hospital and Bering Anzhen Hospital were screened in our studv.All patients enrolled underwent compression ultrasonography(CUS)witlain 48 h upon their admission to the ICUs.CUS Was re-performed at 10-14 day,or when 1eaving ICU or at the time patients developed signs and symptoms(pain,heat,redmess,edema)of DVT.Risk factors which were presumed assiated with DVT were recorded.The main identified outcome Was the presence of DVT.The secondary outcome Was pulmonary thromboembolism(FrrE).Results DVT was found in 30 patients of 252 patients within 48h (11.90％).One hundred seventy-two patients were perforrned CUS two times or more.26 patients(15.12％)had DVT.D-dimer,history of operation,kidney failure appeared to be independent risk factors for DVT in ICU patients.13 patients were suspected PTE and 3 patients diagnosed as PTE.Conclusion ICU doctors should pay more attention to DVT,which is relatively common in ICU patients.
