지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 388 - 392 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Comatose elderly patients with acute neurological illness have a great risk of deep vein thrombosis (DVT). In this study, the incidence of DVT and the effectiveness of early initiation of treatment were evaluated in those patients.
Materials and Methods: Total 323 patients were admitted to our ward due to neurological diseases in one year, and 43 patients, whose Glasgow Coma Scale was ≤11 and who was older than ≥60 years, were included in this study. D-dimer was measured on admission and day 7, and lower-extremity ultrasonography was performed on day 7. When DVT was positive, heparin treatment was initiated, and further evaluation of pulmonary embolism (PE) was conducted. Vena cava filter protection was inserted in PE-positive patients. Incidence of DVT and PE, alteration of D-dimer value, and effect of heparin treatment were analyzed.
Results: DVT was positive in 19 (44.2%) patients, and PE was in 4 (9.3%). D-dimer was significantly higher in DVT-positive group on day 7 (p<0.01). No DVT were identified in patients with ischemic disease, while 66.7% of intracerebral hemorrhage and 53.3% of brain contusion patients were DVT positive. Surgery was a definite risk factor for DVT, with an odds ratio of 5.25. DVT and PE disappeared by treatment in all cases, and no patients were succumbed to the thrombosis.
Conclusion: Patients with hemorrhagic diseases or who undergo operation possess high risk of DVT, and initiation of heparin treatment in 7 days after admission is an effective prophylaxis for DVT in comatose elderly patients without causing bleeding.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Heit JA / 2001 / Incidence of venous thromboembolism in hospitalized patients vs community residents / Mayo Clin Proc 76:1102~1110
Longo MG / 2005 / Deep venous thrombosis in elderly hospitalized patients: prevalence and clinical features / Aging Clin Exp Res 17:42~45
Jaffer AK / 2006 / Prevention of venous thromboembolism in the geriatric patient / Clin Geriatr Med 22:93ix~111ix
Rogers RL / 2007 / Venous thromboembolic disease in the elderly patient:atypical, subtle, and enigmatic / Clin Geriatr Med 23:413, viii~423, viii
Heit JA / 2006 / The epidemiology of venous thromboembolism in the community: implications for prevention and management / J Thromb Thrombolysis 21:23~29
Longo MG / 2005 / Deep venous thrombosis in elderly hospitalized patients: prevalence and clinical features / Aging Clin Exp Res 17:42~45
Jaffer AK / 2006 / Prevention of venous thromboembolism in the geriatric patient / Clin Geriatr Med 22:93ix~111ix
Rogers RL / 2007 / Venous thromboembolic disease in the elderly patient:atypical, subtle, and enigmatic / Clin Geriatr Med 23:413, viii~423, viii
Heit JA / 2006 / The epidemiology of venous thromboembolism in the community: implications for prevention and management / J Thromb Thrombolysis 21:23~29
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Hello, DVT
대한외과학회 학술대회 초록집
2022 .11
-
Triaging deep vein thrombosis using ultrasonography after lower-extremity orthopedic surgery: analysis of a single-center experience
ULTRASONOGRAPHY
2021 .01
-
급성 증상이 있는 폐색전증 환자에서 심부정맥 혈전증의 유병률과 임상적 중요성
대한응급의학회지
2022 .01
-
Significance of preoperative screening of deep vein thrombosis and its indications for patients undergoing urological surgery
Investigative and Clinical Urology
2021 .01
-
Detection of Deep Vein Thrombosis by Follow-up Indirect Computed Tomography Venography after Pulmonary Embolism
Tuberculosis and Respiratory Diseases
2018 .01
-
Incidence of Deep Vein Thrombosis after Major Lower Limb Orthopedic Surgery: Analysis of a Nationwide Claim Registry
Yonsei Medical Journal
2015 .01
-
Deep Vein Thrombosis Prophylaxis after Total Hip Arthroplasty in Asian Patients
Hip and Pelvis
2018 .01
-
근위부 심부정맥 혈전증에서 유증상 폐색전증과 무증상 폐색전증의 비교
Journal of Yeungnam Medical Science
2017 .01
-
근위부 심부정맥 혈전증에서 유증상 폐색전증과 무증상 폐색전증의 비교
영남의대학술지
2017 .01
-
Deep Vein Thrombosis(DVT) After Vaccination in Active-duty Military Personnel: A Case Report
대한외과학회 학술대회 초록집
2021 .11
-
Upper Extremity Deep Vein Thrombosis after Clavicle Fracture and Immobilization
Journal of trauma and injury : JTI
2018 .01
-
Perioperative Short Term Prophylaxis against Deep Vein Thrombosis after Major Abdominal Cancer Surgery: Retrospective Cohort Study
Vascular Specialist International
2021 .12
-
Short-duration chemoprophylaxis might reduce incidence of deep vein thrombosis in Asian patients undergoing total knee arthroplasty
Knee Surgery and Related Research
2020 .01
-
The Risk of Deep Vein Thrombosis and Optimal Timing of Breast Cancer Surgery After COVID-19 Infection
Journal of Breast Cancer
2024 .08
-
Pharmacological and Mechanical Thromboprophylaxis in Critically Ill Patients: a Network Meta-Analysis of 12 Trials
Journal of Korean Medical Science
2016 .01
-
슬관절 전치환술 후 한방재활치료 중 발생한 심부정맥 혈전증 보고
한방재활의학과학회지
2015 .01
-
Venous Thromboembolism Following Acute Ischemic Stroke: A Prospective Incidence Study
Journal of Neurocritical Care
2018 .01
-
Anatomic and clinical risk factors for pulmonary embolism in patients with deep venous thrombosis of the lower extremity
Annals of Surgical Treatment and Research
2017 .05
-
Mechanical Prophylaxis Compared with Low-molecular-weight Heparins for Preventing Venous Thrombosis after Orthopedic Surgery: A Systematic and Meta-analysis
병원약사회지
2018 .01
-
Outcomes of retrievable inferior vena cava filters in patients with deep vein thrombosis and transient contraindication for anticoagulation
Annals of Surgical Treatment and Research
2015 .06
이 논문의 저자 정보
최근 본 자료
댓글(0)
0