Assessment of Final Outcome of Ambulation and Exercise in the Management of Patients with Deep Vein Thrombosis in a Tertiary Care Hospital of Andhra Pradesh
- 1. Assistant Professor, Department of General Medicine, Viswabharathi Medical College, Kurnool
- 2. Associate Professor, Department of General Medicine, Viswabharathi Medical College, Kurnool
Description
Background: Deep vein thrombosis (DVT) was reported as the third commonest cardiovascular disease and a major cause of hospital morbidity and mortality due to its propensity to cause pulmonary embolism and post thrombotic syndrome. Bed rest has been advised historically as the main anchor of its treatment. However early ambulation has its beneficial effects. Aim of the Study: To study the effects of ambulation and exercise in patients with Deep Vein Thrombosis in its progression and improving limb pain and preventing the risk of thromboembolism. Materials: 56 patients with different types of DVT were included after confirmation with laboratory and radiological investigations. Patients were divided into two groups; Group A patients were subjected to a fixed protocol of ambulation and exercise. Group B patients were restricted to bed rest. Both the groups received same line of medical treatment containing anticoagulants, DOAC drugs and LMWH. VAS score, Villalta score and limb measurements of patients were used to assess the final outcome. All the data was analyzed using standard statistical methods. Results: Among the 56 subjects selected for the study, there were 19 (67.85%) males and 09 females (32.14%). The mean age was 49.34±4.10 years in group A and 51.27±4.25 in group B. The mean values of VAS score, Villalta score and limb measurements of patients were similar in both the groups. The p value was 0.461 and there was no difference in the final outcome in both groups; p taken as significant at 0.05. There was no incidence of pulmonary embolism in both the groups. The number of recurrences was 02 in the group A and 08 in the group B. There were no deaths in both groups. Conclusions: Ambulation and exercises in patients with Deep Vein Thrombosis reduced pain, swelling of the limbs better and earlier than in patients on bed rest. It does not increase the incidence of pulmonary embolism or mortality. It prevents recurrences of DVT.
Abstract (English)
Background: Deep vein thrombosis (DVT) was reported as the third commonest cardiovascular disease and a major cause of hospital morbidity and mortality due to its propensity to cause pulmonary embolism and post thrombotic syndrome. Bed rest has been advised historically as the main anchor of its treatment. However early ambulation has its beneficial effects. Aim of the Study: To study the effects of ambulation and exercise in patients with Deep Vein Thrombosis in its progression and improving limb pain and preventing the risk of thromboembolism. Materials: 56 patients with different types of DVT were included after confirmation with laboratory and radiological investigations. Patients were divided into two groups; Group A patients were subjected to a fixed protocol of ambulation and exercise. Group B patients were restricted to bed rest. Both the groups received same line of medical treatment containing anticoagulants, DOAC drugs and LMWH. VAS score, Villalta score and limb measurements of patients were used to assess the final outcome. All the data was analyzed using standard statistical methods. Results: Among the 56 subjects selected for the study, there were 19 (67.85%) males and 09 females (32.14%). The mean age was 49.34±4.10 years in group A and 51.27±4.25 in group B. The mean values of VAS score, Villalta score and limb measurements of patients were similar in both the groups. The p value was 0.461 and there was no difference in the final outcome in both groups; p taken as significant at 0.05. There was no incidence of pulmonary embolism in both the groups. The number of recurrences was 02 in the group A and 08 in the group B. There were no deaths in both groups. Conclusions: Ambulation and exercises in patients with Deep Vein Thrombosis reduced pain, swelling of the limbs better and earlier than in patients on bed rest. It does not increase the incidence of pulmonary embolism or mortality. It prevents recurrences of DVT.
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IJPCR,Vol14,Issue7,Article95.pdf
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Additional details
Dates
- Accepted
-
2022-06-05
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue7,Article95.pdf
- Development Status
- Active
References
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