George Mukhari博士学术医院多普勒超声检查患者深静脉血栓形成的危险因素及相关社会人口统计学特征

Hilary Kamombe-Zingwari, Margaret Kisansa, A. Dehghan-Dehnavi
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摘要

背景:静脉血栓栓塞(VTE)是心血管相关死亡的主要原因之一,是医疗保健系统的重大经济负担。早期识别和正确管理有发生深静脉血栓风险的患者可以改善他们的健康。目的:本研究旨在确定在Dr George Mukhari学术医院(DGMAH)进行多普勒超声成像的患者深静脉血栓形成(DVT)的危险因素和社会人口统计学特征。方法:一项横断面描述性研究用于确定在DGMAH进行多普勒超声成像的患者中DVT的危险因素和相关人口统计学特征。本研究采用定量方法。共有135名患者参与。患者完成了一份结构化问卷,以评估深静脉血栓形成的危险因素。然后使用超声扫描评估他们的深静脉血栓形成,并记录结果。从问卷和结果的信息被编码,并进入计算机使用社会科学统计软件包(SPSS)版本25。然后进行数据分析。结果:2019年1月至6月期间,在放射科进行下肢超声扫描的135例患者中,有42例(31%)被诊断为DVT。长期卧床休息(p=0.037)和最近完成结核病治疗的病史(p=0.042)与DVT的发生有关。结论:长期不活动和近期完成TB治疗与发生DVT的风险增加有关。有必要对这些患者进行早期深静脉血栓筛查,并制定深静脉血栓治疗方案。
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The Risk Factors and Associated Socio-Demographic Profile of Deep Vein Thrombosis (Dvt) Among Patients Referred For Doppler UltrasoundImaging At Dr George Mukhari Academic Hospital
Background: Venous Thromboembolism (VTE) is one of the leading causes of cardiovascular related deaths and is a significant economic burden on the healthcare system. Early identification and correct management of patients at risk of developing DVT improves their health. Objectives: The study sought to determine the risk factors and socio-demographic profiles of Deep Vein Thrombosis (DVT) of patients referred for Doppler ultrasound imaging at Dr George Mukhari Academic Hospital (DGMAH). Methods: A cross sectional descriptive study was used to determine the risk factors and associated demographic profiles of DVT among patients referred for Doppler ultrasound imaging at DGMAH. The study used quantitative methods. A total of 135 patients participated. Patients completed a structured questionnaire to assess risk factors of DVT. They were then assessed for DVT using an ultrasound scan and results were documented. The information from the questionnaires and results was coded and entered into a computer using Statistical Package for Social Science (SPSS) Version 25. Data analysis was then conducted. Results: Of the 135 patients who were referred to the radiology department for ultrasound scanning of lower limbs between January and June 2019, 42 patients (31%) were diagnosed with DVT. Prolonged bed rest (p=0.037) and history of having recently completed TB treatment (p=0.042) were associated with development of DVT. Conclusion: Prolonged immobility and recent completion of TB treatment were associated with increased risk of developing DVT. There is need to screen these patients for DVT early and institute DVT protocols.
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