A Study of Etiological And Clinical Profile with associated Risk Factors of Deep Vein Thrombosis Detected In A Hospital Based Setting And Review of Literature of This As An Emerging Health Problem In Hospitals
Keywords:
deep vein thrombosis, hospital, immobilisation, health problemAbstract
Introduction: Deep vein thrombosis (DVT) is one of the commonest thrombotic manifestations encountered in a hospital setting due to several causes. Method: This cross sectional, observational study was conducted in a tertiary care centre in Western India on 30 patients of proven deep vein thrombosis (DVT) to assess clinical profile, etiology and risk factors. Data was compiled in Epi info version 7 software for analysis. Results: The age group most commonly affected was 31-44 years (36.67%) with a male preponderance (80%). Most patients of DVT had Body Mass Index (BMI) 20-25(43.33%).The most common risk factor was immobilization (80%) out of which,50% patients were immobile due to coexisting medical problems and 30% due to fracture(13.3%) or other trauma(16.67%).Congestive cardiac failure (26.67%),diabetes with urosepsis who were in intensive care unit, one of whom had mechanical ventilation ( 20%)were the common medical morbidities. The remaining 20% had DVT due to mostly acquired and less commonly hereditary causes of hypercoagulability.83.33% patients had proximal DVT and the rest had distal DVT.13.33% patients had pulmonary embolism successfully treated. There were no deaths. Conclusion: In this study, as compared to others, younger economically productive age group with normal BMI or mild obesity is affected. The main risk factor is immobilisation due to medical comorbidities and traumatic injuries.
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