Status of COPD patients with deep venous thrombosis in RICU
10.7652/jdyxb201703027
- VernacularTitle:RICU慢性阻塞性肺疾病患者下肢深静脉血栓形成的流行病学分析
- Author:
Wei ZHANG
;
Lan YANG
- Keywords:
respiratory intensive care unit (RICU);
chronic obstructive pulmonary disease;
deep vein thrombosis
- From:
Journal of Xi'an Jiaotong University(Medical Sciences)
2017;38(3):466-468,封3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the incidence and related risk factors of chronic obstructive pulmonary disease (COPD) patients with deep venous thrombosis (DVT) in the respiratory intensive care unit (RICU).Methods We recruited 204 patients from RICU of our hospital between January 2015 and December 2015.The basic clinical data of the patients were also collected.Bedside venous ultrasonography of double lower limbs was taken 24-48 hours after admission.The patients were divided into DVT group and non-DVT group.The clinical data of the two groups were analyzed and compared using Chi-square test or t test,Logistic regression analysis was used to analyze risk factors,and ROC curve analysis was used to identify the disease.Results Among the 204 patients,39 were identified with DVT,with the overall incidence rate of 19.1％.D-dimer in DVT group was significantly higher than that in non-DVT group (P＜0.001).The two groups did not significantly differ in age,sex,smoking history,underlying diseases,or other laboratory test results.The area under the ROC curve of D-dimer was 0.787,and the cut off value was 1.985 mg/L (sensitivity of 0.641,specificity of 0.817).Conclusion D-dimer is closely associated with increased incidence of DVT in COPD patients.
