Risk factors for venous thromboembolism at the University College Hospital, Ibadan.

O. Aworanti, O. Adeoye, S. P. Ogundeji, I.D. Nwanji, C. Anyanwu-Yeiya, F. Fasola, J. Olaniyi
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Abstract

Background: Venous thromboembolism (VTE) possesses a significant public health challenge as it is responsible for high morbidity and mortality rates worldwide. Risk factors play a major role in its pathogenesis. VTE risk factors identification and thromboprophylaxis will reduce the burden of disease and its treatment cost. The study aimed to review the pattern of presentation, and identify risk factors in VTE patients at the University College Hospital (UCH), Ibadan.Methods: This is a retrospective study of the hospital records of 98 confirmed VTE patients managed at UCH, Ibadan over 18 months. Demographic data and risk factors documented in the case-note were retrieved. Microsoft excel version 2013 and SPSS version 23 were employed for the statistical analysis.Results: Ninety-eight patients were studied with M: F of 1:1.6. The age range was between 15 and 87 years with a mean age of 52±17years. Seventy-one patients (72%) had DVT. Immobilization was the most frequently identified risk factor, followed by a prior diagnosis of malignancy (15.4%).Conclusion: This study further confirms immobilization as the most identifiable risk. Others include malignancies and iatrogenic causes by femoral canulation. 
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伊巴丹大学附属医院静脉血栓栓塞的危险因素
背景:静脉血栓栓塞症(VTE)是全球高发病率和死亡率的原因,对公共卫生构成了重大挑战。危险因素在其发病机制中起着重要作用。VTE危险因素识别和血栓预防将减轻疾病负担及其治疗成本。该研究旨在回顾伊巴丹大学学院医院VTE患者的表现模式,并确定其风险因素。方法:这是对在伊巴丹UCH治疗的98名确诊VTE患者18个月的医院记录的回顾性研究。检索病例说明中记录的人口统计学数据和风险因素。采用Microsoft excel 2013版和SPSS 23版进行统计分析。结果:98例患者的M:F为1:1.6。年龄范围在15至87岁之间,平均年龄为52±17岁。71名患者(72%)患有DVT。固定是最常见的风险因素,其次是先前诊断为恶性肿瘤(15.4%)。结论:本研究进一步证实固定是最可识别的风险。其他包括恶性肿瘤和由股骨溃疡引起的医源性原因。
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