By
Dr. Antonio Galzerano
,
Dr. Barbara Brunettini
,
Prof. Davide Duri
,
Prof. Alberto Pasqualucci
Corresponding Author Dr. Antonio Galzerano
Anaesthesiology and Resuscitation Department, - Italy 06125
Submitting Author Dr. Antonio Galzerano
Other Authors
Dr. Barbara Brunettini
Anaesthesiology and Resuscitation Department, - Italy
Prof. Davide Duri
Anaesthesiology and Resuscitation Department, - Italy
Prof. Alberto Pasqualucci
Anaesthesiology and Resuscitation Department, - Italy
Thrombosis,ICU, Deep DVT
Galzerano A, Brunettini B, Duri D, Pasqualucci A. DVT In ICU: Fequency and Risk Factors. WebmedCentral EMERGENCY MEDICINE 2011;2(8):WMC002128
doi:
10.9754/journal.wmc.2011.002128
No
Abstract
DVT is one of the most frequent complications in medical and surgical patients in ICU and it often appears with pulmonary embolism (PE).?
The aim of this study was to assess the frequency of the deep venous thrombosis (DVT)? in?? patients hospitalized in intensive care unit (ICU) and the risk factors associated with DVT .
Materials and methods: We evaluated 76 consecutive patients (49 M vs 27 F; mean age 57.48 ?20.36 years)? admitted to ICU from October 2007 to April 2008. The diagnosis of DVT was made by doppler ultrasonography (US) that was performed within 4 days from hospitalization. In selected patients, the examination was? repeated at day 8 (?2 days). Patients admitted for PE were escluded. All patients admitted in the ICU received 4000 UI of? LMWH (enoxaparin) as prophilatic dose, except those with active intracranic bleeding or at high risk, were we used physical prophylaxis (antithrombotic stockings).
Results: Within 4 days, 47% of the patients had DVT on US (5% proximal and 32% distal).
The risk factors associated with DVT are: varicose syndrome (9,2%), haemorragic stroke (36.8%), ischemic stroke (9.2%), ischemic cardiopathy (31.5%), past pharmacology theraphy (52%). No PE was present during hospitalization.
Conclusions: DVT was present in 47% of the patients within 4 days from hospedalization and 9.3% of the patients if they were evaluated within 8 days.
Source(s) of Funding
none
Competing Interests
none
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