Risk factors for deep vein thrombosis after cerebral hemorrhage
10.3760/cma.j.issn.0254-1424.2018.12.007
- VernacularTitle:脑出血患者下肢深静脉血栓形成的危险因素分析
- Author:
Jingsong MU
1
;
Chaomin NI
;
Ming WU
;
Zheng LIU
Author Information
1. 中国科学技术大学附属第一医院(安徽省立医院)康复医学科
- Keywords:
Cerebral hemorrhage;
Deep vein thrombosis;
Lower extremities;
Risk factors
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2018;40(12):906-909
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors for deep vein thrombosis (DVT) of the lower extremity among patients hospitalized after a cerebral hemorrhage. Methods A total of 230 patients with cerebral hemorrhage admitted between August 2015 to August 2017 were retrospectively analyzed. At admission, each was were given a coagulogram, D-dimer and color Doppler ultrasound of the lower extremity. The patients were divided into a DVT group (31 cases) and a non-DVT group (199 cases) according to the color Doppler ultrasound results. The following clinical information was recorded: sex, age, disease course, paralysis side, consciousness, tracheotomy, complications (pulmonary infection, urinary tract infections and pressure sores), foreign matter implanting, history of venous catheterization, heart rate over 100 beats/ min or not, rehabilitation intervention after the onset, muscle tension in the lower extremity, activity and swelling on the paralysis side, and the serum levels of D-dimer and fibrinogen. Univariate and multivariate logistic regression was applied in search of useful risk factors. Results The univariate analysis showed that age, gender, disease course, tracheotomy, urinary tract infections, pressure sores, foreign matter implanting, and swelling and muscle tension in the lower extremity were all associated with the occurrence of DVT among these cerebral hemorrhage patients. According to the results of the multivariate logistic regression analysis, swelling and muscle tension in the lower extremity were related with the occurrence of DVT for those patients. Conclusion Swelling and muscle tension in a lower extremity are independent risk factors for the occurrence of DVT after a cerebral hemorrhage.__
