Analysis of occurrence time and risk factors of acute cerebral infarction complicated with deep venous thrombosis
10.3760/cma.j.cn431274-20200713-00968
- VernacularTitle:急性脑梗死并发深静脉血栓的发生时间及危险因素分析
- Author:
Ying LIANG
1
;
Yitong CHEN
;
Runhua ZHANG
;
Ruijun JI
;
Yunyun XIONG
;
Junping GUO
Author Information
1. 首都医科大学附属北京天坛医院血管神经病学一病区 100070
- Keywords:
Brain infarction;
Deep vein thrombosis;
Occurrence time;
Risk factors
- From:
Journal of Chinese Physician
2021;23(10):1477-1480,1486
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the occurrence time and risk factors of deep vein thrombosis (DVT) in patients with acute cerebral infarction, so as to guide clinical prevention and treatment.Methods:1 129 patients with acute cerebral infarction treated in Beijing Tiantan Hospital from May 2014 to May 2016 were selected as the research objects. According to whether DVT occurred, the patients were divided into DVT group ( n=22) and non DVT group ( n=1 107); The information was analyzed retrospectively and the occurrence time of DVT was counted. The independent risk factors of acute cerebral infarction complicated with DVT were analyzed by univariate and multivariate logistic regression. Results:The time of DVT in patients with acute cerebral infarction was 10.5 (4-14) days. Univariate analysis showed that there were significant differences in age, gender, atrial fibrillation, smoking, drinking, chronic obstructive pulmonary disease, peripheral artery disease, renal failure, anticoagulants, BMI, white blood cell, blood glucose at admission and length of stay between the DVT group and the non DVT group ( P<0.05). Multiple factors further confirmed that renal failure [odds ratio ( OR)=57.421; 95% confidence interval ( CI), 5.792-569.314)] and length of hospital stay ( OR=1.148; 95% CI: 1.071-1.232) were independent risk factors for DVT. Conclusions:The median time of DVT in patients with acute cerebral infarction was 10.5 days. Renal failure and hospital stay were independent influencing factors of DVT in patients with acute cerebral infarction. This is helpful to determine the best prevention and treatment duration of DVT in patients with acute cerebral infarction, make rational use of medical resources and formulate personalized prevention and treatment strategies.
