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 Risk Factors and Features of Critically Ill Patients with Deep Vein Thrombosis in Lower Extremities

Journal of Korean Academy of Nursing 2012년 42권 3호 p.396 ~ 404
KMID : 0806120120420030396
김화순 ( Kim Hwa-Soon ) - 인하대학교 간호학과 교수

조옥민 ( Cho Ok-Min ) - 인하대학교 간호학과 대학원
조효임 ( Cho Hyo-Im ) - 인하대학교 간호학과 대학원
김주연 ( Kim Ju-Yeun ) - 인하대학교 간호학과 대학원

Abstract

Purpose: The purpose of this study was to identify the features, risk scores and risk factors for deep vein thrombosis in critically ill patients who developed deep vein thrombosis in their lower extremities.

Methods: The participants in this prospective descriptive study were 175 adult patients who did not receive any prophylactic medication or mechanical therapy during their admission in the intensive care unit.

Results: The mean age was 62.24 (±17.28) years. Men made up 54.9% of the participating patients. There were significant differences in age, body mass index, and leg swelling between patients who developed deep vein thrombosis and those who did not have deep vein thrombosis. The mean risk score was 6.71(±2.94) and they had on average 4.01(±1.35) risk factors. In the multiple logistic regression, body mass index (odds ratio=1.14) and leg swelling (odds ratio=6.05) were significant predictors of deep vein thrombosis.

Conclusion: Most critically ill patients are in the potentially high risk group for deep vein thrombosis. However, patients who are elderly, obese or have leg edema should be closely assessed and more than one type of active prophylactic intervention should be provided.
KeyWords

Critical illness, Venous thrombosis, Risk factors
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed