Risk factors for deep vein thrombosis after a spinal cord injury: A retrospective study
10.3760/cma.j.issn.0254-1424.2023.04.003
- VernacularTitle:脊髓损伤患者并发下肢深静脉血栓危险因素的回顾性研究
- Author:
Miaoqiao SUN
1
;
Mulan XU
;
Xiangbo WU
;
Ying LIANG
;
Xiao XI
;
Yixing LU
;
Guiqing CHENG
;
Hong WANG
;
Ning LI
;
Chenguang ZHAO
;
Xiaolong SUN
;
Hua YUAN
Author Information
1. 空军军医大学第一附属医院(西京医院)康复医学科,西安 710032
- Keywords:
Spinal cord injury;
Deep vein thrombosis;
Risk factors
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(4):302-306
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the risk factors for lower extremity deep vein thrombosis (DVT) in patients with a spinal cord injury (SCI).Methods:The medical records of 276 hospitalized SCI patients were analyzed retrospectively. They were divided into a DVT group ( n=63) and a no-DVT group ( n=213). Gender, age, blood type, smoking history, surgical history, the time from SCI to admission, cause of SCI, fracture, SCI segments, American Spinal Cord Injury Association grade and complications were compared between the two groups. Binomial logistic regression was used to isolate the risk factors for lower extremity DVT among such patients. Results:Among 84% of the 63 with a lower extremity DVT, it was a calf muscle venous thrombosis. Anemia, hyponatremia and time from SCI to admission (which ranged from 74 to 195 days) were the most serious DVT risk factors.Conclusions:SCI patients are of high risk for DVT, with anemia and hyponatremia being independent risk factors.