Role of Routine DVT Prophylaxis After Major Gene-Ral Surgical Procedure; Our Experience in a Tertiary Care Centre of Kolkata (original) (raw)
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Introduction: Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) are the life-threatening complications which can occur in patients undergoing elective Total Knee Arthroplasties (TKA). Incidence in western population appears high in published Literature. While the Indian population it appears to be variable. The difference might be due to different Genetic makeup, social lifestyles of both populations. 1 The study intends to find an incidence of symptomatic DVT and PE in postoperative TKA patients on the prophylactic drug regimen. Aim: To study the incidence of symptomatic DVT and PE, in post-TKA patients in Indian population. Materials and Methods: Retrospective Study conducted from 1 st may, 2017 to 1st may 2018 in BIRRD (T) Hospital. All patients who underwent TKA are included, after following inclusion and exclusion criteria. These patients were evaluated for symptoms during the hospital stay and after discharge for 3 Months. Result: Total number of patients who had TKA were 2292(N=2292). The symptomatic DVT was found in 6(n=6) patients. All 3 patients were managed with a therapeutic regimen. Four patients developed PE (p=4) during the study period, three patients developed pulmonary embolism in first 24 hours postoperatively and expired in spite of ICU management. One patient expired on the 4 th-week postoperatively, with PE at home. Two patients presented with symptoms on 2 nd and 4 th postoperative days, one underwent fasciotomy on 4 th postoperative day. All other patients were on a prophylactic regimen. Conclusion: Our results suggest incidence of DVT and PE are low in the Indian population with a prophylactic regimen.
Post Operative Deep Vein Thrombosis: A Study of 150 Cases
Journal of Chittagong Medical College Teachers' Association
Thromboembolism is a wide spectrum entity of which post operative Deep Vein Thrombosis (DVT) is a part. At present there is inadequate information available regarding the incidence of DVT in Bangladesh. The aim of this cross-sectional study was to see the incidence of postoperative DVT at BIRDEM Hospital from March to December 2008. It was performed on 150 patients who had any operation of more than one hour of duration. Among 150 patients, 102 were male and 48 were female. The incidence of DVT in male was 36.3% and in female it was 27.5%. One-fifth of the DVT patients were smokers. Thirty two patients underwent amputation of which 14 (43.7%) developed DVT. Among the DVT cases, only 3 were clinical DVT and the rest were sub-clinical. In half of the Laparotomy patients (10/20) DVT developed. About one-fourth (34/8) of the hernioplasty patients and half of the APR patients (4/8) developed DVT. The occurrence of the condition in diabetes mellitus (36.7%) and cancer (33.3%) was high. F...
Deep vein thrombosis and pulmonary embolism are lifethreatening complications from elective joint replacements in the Western world. At about 300000-600000 admissions occur into hospitals every year in the United states due to DVT and pulmonary embolism and resultant mortality at 50000 patients yearly. 1 incidence of postoperative DVT for hip arthroplasties is 0.15%, lower than knee arthroplasties (0.22%) and fracture hip surgeries (0.16%). 2 In India the incidence of DVT in THA is 2.97% (3/101). 3 Orthopedic surgeries contributes at about 22% of DVT cases in all surgical procedures. 4 The incidence of DVT and PE appears to be low in our study, may be because of genetic makeup and lifestyle differences. Indian population is mostly rural (2/3 of the population live in villages, with the farming as main occupation, belong to poor socioeconomic status. They do have a physically demanding lifestyle and present at a late age with primary osteoarthritis of knee than primary osteoarthritis of hip. 5 Patients who present to our institute are from rural ABSTRACT Background: Deep vein thrombosis (DVT) and pulmonary embolism (PE) can occur in patients after elective total hip arthroplasties (THA). Indian population appears to have low incidence of DVT and PE in comparison with Western population due to difference in ethnicity, genetic make-up, social life styles. The study intends to find the incidence of symptomatic DVT and PE in postoperative THA patients. The aim of the study was to study the incidence of symptomatic DVT and PE, in post-THA patients in Indian Population. Methods: Retrospective study conducted from 1 st January, 2017 to 31 st July, 2018 in BIRRD (T) Hospital. All patients who underwent THA are included, after fulfilling inclusion and exclusion criteria. Patients were evaluated for symptoms during the hospital stay and after discharge for 3 Months. Results: Total number of patients who had THA were 447 (n=447). The symptomatic DVT was found in 1 (n=1) patient. He developed DVT (n=1) during the study period, in first 48 hours postoperatively and recovered with ICU management. The same patient showed symptoms of PE but recovered fully. All patients were on a prophylactic regimen. Conclusions: Our results suggest incidence of DVT and PE are low in the Indian population with a prophylactic regimen.
Dence of Postoperatve Deep Vein Thrombosis:A Study of 150 Cases
Journal of Surgical Sciences
Background: Venous thromboembolism remains a common cause of morbidity and sometimescause of death in surgical practice. In developed world about 10% of hospital deathsare due to pulmonary embolism resulting from deep vein thrombosis( DVT). DVT in Asiancountries is not a rare condition. Objective: The purpose of the study was to find the incidence ,demgraophic characterand risk factors of deep vein thrombosis. Methods: 150patients undergoing emergency or elective operation of more than one hourof duration was selected for study. Patients evaluated by history, clinical examination andduplex scan. Collected analyzed by computer program. Results: 102 cases were male and 48 cases were female. The incidence of DVT in malewas 36.3% while among females it was 27.5%. venous thrombosis in age group above 50yrs is quite high, (43.33%) . One-fifth of the DVT patients were smokers. Longer duration ofoperation procedure was correlated with development of DVT and development of DVT waslittle high...
2001
Apparent rarity of post-operative DVT and pulmonary embolism in Asian patients was first reported since 1964. Very few literature and clinical studies were done for post-operative DVT in Asian population as well as in Malaysia.Compared to the Western hemisphere,low incidence 2.6% to 15.3% was reported from Japan, Hong Kong, Thailand, Singapore and Malaysian studies.Conflicting results of high incidence in orthopaedic patients was reported in two other Asian studies from Hong Kong and Malaysia.To find out the incidence of post-operative deep vein thrombosis (DVT) in our general surgical patients after major surgical procedures.To find out the subgroups of patients at special risk to post-operative DVT.To reviewthe policy of withholding routine DVT prophylaxis in Malaysian patients
Deep Vein Thrombosis: Risk Factors and Prevention in Surgical Patients
West African Journal of Medicine, 2009
BACKGROUND: Deep vein thrombosis (DVT) is a cause of preventable morbidity and mortality in hospitalized surgical patients. The occurrence of the disease is related to presence of risk factors, which are related primarily to trauma, venous stasis and hyper-coagulability. DVT seems not to be taken seriously by many surgeons in Nigeria. This is despite comprehensive studies that show no real differences in racial demography of the disease. OBJECTIVE: To highlight the importance of physician awareness about DVT especially its risks and prevention methods. METHODS: A detailed literature search was completed to extrapolate articles that described DVT risks and prevention. This involved hand and online searches. Specific search terms used included DVT/risk factors/prevention. The searches generated 468 papers. Of these 57 papers were included in the review. RESULTS: Predominant risk factors for DVT include middle or old age, prolonged surgery, trauma, confinement, presence of malignancy and insertion of deep venous catheters. In women, contraceptive use, hormone replacement therapy, pregnancy and the puepernum are a additional risk factors. Prophylactic measures include those directed at eliminating venous stasis and those directed at changes in blood coagulability. CONCLUSION: Deep Venous Thrombosis is a common disease with fatal and serious long term burdensome complications. We must target primary and secondary prophylaxis to improve survival and reduce morbidity from this preventable disease.
10 Approaching Venous Thrombosis in General Surgery Patients
2012
Venous thromboembolism (VTE) manifesting as deep vein thrombosis(DVT) or pulmonary embolism (PE), is one of the most common complications of hospitalization and is associated with short and long-term morbidity, mortality and resource expenditure. Routine use of thromboprophylaxis reduces adverse patient outcomes while at the same time decreasing overall costs. Almost all hospitalized patients have at least one associated risk factor for VTE, and approximately 40% have three or more risk factors (Table 1)(1).