Assessment of Influencing Risk Factors of Deep Venous Thrombosis in Cases Undergoing Surgery at Tertiary Care Hospital
Authors/Creators
- 1. Assistant Professor, Department of General Surgery, MNR Medical College and Hospital, Sangareddy, Telangana, India
- 2. Assistant Professor, Department of General Surgery, MNR Medical College and Hospital, Sangareddy, Telangana
Description
Introduction: Deep venous thrombosis (DVT) is a considerable reason of morbidity and mortality in surgical cases. There is lack of evident information on the incidence of DVT and standard guidelines for facilitating thromboprophylaxis in Indian populations. The present study was designed to assess the risk factors favoring the deep venous thrombosis in surgical cases. Materials and Methods: A total of 168 patients undergoing surgery at surgery department were assessed for risk factors favoring deep vein thrombosis. The risk factors such as sociodemographic including age and smoking, clinical profile factors including history of DVT, family history, history of varicose veins, medical illness, connective tissue disorders, cancers and its treatment, and Surgical factors including type of anaesthesia technique, duration of surgery, immobilization period and risk assessment score were assessed. Results: The duration of surgery was up to 60 min in 31.49%, between 61-180 min in 68.62% and above 180 min in 3.70% of DVT cases. The duration of immobilization was 70.37%, 22.22% and 7.40% in ≤7, 8-14, and >14 days respectively. The risk score was low (1-6) in 18.52%, moderate (7-12) in 33.33% and high (>12) in 48.14% of cases. Conclusion: Health care professional should be trained on standardized diagnostic tools in DVT risk assessment and prophylaxis. Preoperatively, thromboprophylaxis is must in moderate and high-risk category of DVT patients undergoing surgery with postoperative follow-up.
Abstract (English)
Introduction: Deep venous thrombosis (DVT) is a considerable reason of morbidity and mortality in surgical cases. There is lack of evident information on the incidence of DVT and standard guidelines for facilitating thromboprophylaxis in Indian populations. The present study was designed to assess the risk factors favoring the deep venous thrombosis in surgical cases. Materials and Methods: A total of 168 patients undergoing surgery at surgery department were assessed for risk factors favoring deep vein thrombosis. The risk factors such as sociodemographic including age and smoking, clinical profile factors including history of DVT, family history, history of varicose veins, medical illness, connective tissue disorders, cancers and its treatment, and Surgical factors including type of anaesthesia technique, duration of surgery, immobilization period and risk assessment score were assessed. Results: The duration of surgery was up to 60 min in 31.49%, between 61-180 min in 68.62% and above 180 min in 3.70% of DVT cases. The duration of immobilization was 70.37%, 22.22% and 7.40% in ≤7, 8-14, and >14 days respectively. The risk score was low (1-6) in 18.52%, moderate (7-12) in 33.33% and high (>12) in 48.14% of cases. Conclusion: Health care professional should be trained on standardized diagnostic tools in DVT risk assessment and prophylaxis. Preoperatively, thromboprophylaxis is must in moderate and high-risk category of DVT patients undergoing surgery with postoperative follow-up.
Files
IJPCR,Vol15,Issue4,Article25.pdf
Files
(355.8 kB)
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Additional details
Dates
- Accepted
-
2023-03-23
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue4,Article25.pdf
- Development Status
- Active
References
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