Comparison of Length of Stay and Deep Vein Thrombosis (DVT) Incidents in Dr. Soetomo Hospital

Elizeus Hanindito, Prananda Surya Airlangga, Soni Sunarso Sulistiawan, Bambang Pujo Semedi, Lucky Andriyanto, Arie Utariani, Nancy Margarita Rehatta

= http://dx.doi.org/10.20473/fmi.v54i4.10713
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Abstract


Vein thrombosis may occur both in deep and superficial vein of all extremities. Ninety percent of vein thrombosis may progress into pulmonary embolism which is lethal. Deep vein thrombosis (DVT) is frequently found in critically ill patients in ICU, especially patients who are treated for a long time. This study aims to analyse the comparison between length of stay and DVT incidents in critically ill patients. A cross-sectional study was employed. We include all patients who were 18 years or older and  were treated in ICU of Dr Soetomo public hospital for at least 7 days. The patients were examined with Sonosite USG to look for any thrombosis in iliac, femoral, popliteal, and tibial veins and Well’s criteria were also taken. This study showed that length of stay is not the only risk factor for DVT in patients treated in ICU. In our data, we found out that the length of treatment did not significantly cause DVT. Other risk factors such as age and comorbidities in patients who are risk factors may support the incidence of DVT events. The diagnosis of DVT is enforced using an ultrasound performed by an expert in the use of ultrasound to locate thrombus in a vein. Length of treatment is not a significant risk factor for DVT. Several other factors still need to be investigated in order for DVT events to be detected early and prevented.

Keywords


Deep vein thrombosis (DVT); Intensive Care Unit (ICU); length of stay

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References


Cushman, M. 2007. Epidemiology and Risk Factors for Venous Thrombosis. SeminHematol. April ; 44(2): 62

Fauci, AS, DL Kasper, DL Longo, E Braunwald, SL Hauser, JL Jameson, JLoscalzo. 2008. Venous Thrombosis. Dalam: Harrison’s Principles of Internal Medicine 17th Edition. Chapter 111. USA: McGraw-Hill Companies,Inc.7.

Hirsh, J dan J Hoak. 1996. Management of Deep Vein Thrombosis and Pulmonary Embolism Circulation. http://circ.ahajournals.org/content/93/12/2212.full. 5 November 2014, (22.00)

Hirsh, J, RD Hull, dan GE Raskob. 1986. Epidemiology and Pathogenesis of Venous Thrombosis. The J Am Coll Cardio. http://content.onlinejacc.org/data/Journals/JAC/22739/00122.pdf. 5 November 2014, (22.00)

Kaushansky, K, MA Lichtman, E Beutler, TJ Kipps, U Seligsohn, JT. Prchal. 2010. Venous Thrombosis. 2700. Williams Hematology, 8th edition. China: TheMcGraw-Hill Companies, Inc. P.

Kerr T.M et al. 1990. Upper Extremity Venous Thrombosis Diagnosed by DuplexScanning, The Am J of Surgery 160:120-206.10

Lopez, JA, C Kearon, dan AYY Lee. 2004. Deep Venous Thrombosis. Hematology. ASH Education Book January 1: vol. 2004 no. 1 439-4563.

Schellong S, Hesselschwerdt HJ, Paar WD, et al. 2005. Rates of proximal deep vein thrombosis as assessed by compression ultrasonography in patients receiving prolonged thromboprophylaxis with low molecular weight heparin after major orthopedic surgery. Thromb Haemost; 94: 532-6

White, R. 2003. The Epidemiology of Venous Thromboembolism. Circulation. http://circ.ahajournals.org/content/107/23_suppl_I/I-4. 7 November 2014 (20:00)


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