Incidence of Deep Vein Thrombosis after Spinal Cord Injury in Korean Patients at Acute Rehabilitation Unit.
10.3346/jkms.2013.28.9.1382
- Author:
Jong Geol DO
1
;
Du Hwan KIM
;
Duk Hyun SUNG
Author Information
1. Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. yays.sung@samsung.com
- Publication Type:Original Article
- Keywords:
Deep Vein Thrombosis;
Incidence;
Spinal Cord Injuries;
Rehabilitation Unit
- MeSH:
Acute Disease;
Adolescent;
Adult;
Aged;
Aged, 80 and over;
Asian Continental Ancestry Group;
Female;
Humans;
Incidence;
Logistic Models;
Male;
Middle Aged;
Paralysis/etiology;
Pulmonary Embolism/epidemiology/etiology;
Rehabilitation Centers;
Republic of Korea;
Retrospective Studies;
Risk Factors;
Spinal Cord Injuries/*complications;
Venous Thrombosis/*epidemiology/etiology/ultrasonography;
Young Adult
- From:Journal of Korean Medical Science
2013;28(9):1382-1387
- CountryRepublic of Korea
- Language:English
-
Abstract:
Deep vein thrombosis (DVT) and subsequent pulmonary embolism (PE) remain significant causes of morbidity, mortality in patients with spinal cord injury (SCI). Since incidence of DVT after SCI in Korean population has not been much studied, we retrospectively analyzed the medical records of 185 SCI patients admitted for acute rehabilitation unit to investigate the incidence of DVT. Color Doppler ultrasonography was performed to screen for the occurrence of DVT at the time of initial presentation to acute rehabilitation unit. Primary study outcome was the incidence of DVT. Possible risk factors for DVT including the epidemiologic characteristics, completeness of motor paralysis, cause of injury, spasticity, surgery, and active cancer were analyzed. The incidence of DVT after SCI was 27.6%. In multiple logistic regression analysis, absence of spasticity was a significant independent risk factor (P<0.05) for occurrence of DVT. Symptomatic pulmonary embolism was evident in 7 patients without an episode of sudden death. Therefore, it is concluded that the incidence of DVT after SCI in Korean patients is comparable with that in Western populations. This result suggests that pharmacologic thromboprophylaxis should be considered in Korean patients with SCI.
