Volume 28, Issue 4 (Avicenna Journal of Clinical Medicine-Winter 2022)                   Avicenna J Clin Med 2022, 28(4): 210-215 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Esmaeili F, Aghajanloo M, Shams A, Abdolmalaki S. Deep Vein Thrombosis, Pulmonary Embolism and Related Factors in Patients with Traumatic Brain Injury. Avicenna J Clin Med 2022; 28 (4) :210-215
URL: http://sjh.umsha.ac.ir/article-1-2256-en.html
1- Assistant Professor, Department of Neurosurgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
2- Assistant Professor, Department of Cardiac Surgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
3- Neurosurgeon, Hamadan University of Medical Sciences, Hamadan, Iran , sajjadabdolmalaki@gmail.com
Abstract:   (1632 Views)
Background and Objective:Deep vein thrombosis and pulmonary embolism are fatal problems following brain trauma that, if left untreated, can dramatically increase mortality. Therefore, the present study aimed to evaluate deep vein thrombosis, pulmonary embolism and related factors in patients with traumatic brain injury.
Materials and Methods:This cross-sectional study was performed on 38 patients with isolated brain trauma in the intensive care unit. The study tool was a checklist that was completed as a file reading. The information required for the study was also collected through Doppler ultrasound and computed tomography angiography reports. The obtained data were analyzed in SPSS software using Chi-square and Fisher tests. The significance level of the tests was considered 0.05.
Results:The mean age of study participants was 51.5± 18.3 years. In this study, 5.3% and 2.6% of participants had deep vein thrombosis and pulmonary embolism, respectively. There was a significant difference between the group with deep vein thrombosis and without deep vein thrombosis in the length of hospital stay, the mean length of stay in the ICU and the mean time of complete bed rest (CBR).
Conclusion:According to the effective variables in the development of thrombosis in this study, the development of related interventions to reduce the incidence of deep vein thrombosis and pulmonary embolism can minimize disability and mortality due to these diseases.
Full-Text [PDF 818 kb]   (653 Downloads)    
Type of Study: Original | Subject: Neurosurgery

References
1. Lim Y-P, Lin C-L, Hung D-Z, Ma W-C, Lin Y-N, Kao C-H. Increased risk of deep vein thrombosis and pulmonary thromboembolism in patients with organophosphate intoxication: a nationwide prospective cohort study.Med. 2015;94(1):e341. [DOI] [PubMed]
2. Alikhan R, ForsterR, Cohen AT. Heparin for the prevention of venous thromboembolism in acutely ill medical patients (excluding stroke and myocardial infarction). Cochrane Database Syst Rev. 2014;2014(5):CD003747. PMID: 24804622DOI: 10.1002/14651858.CD003747.pub4 [DOI] [PubMed]
3. Geerts WH, Pineo GF, Heit JA, Bergqvist D, Lassen MR, Colwell CW, et al. Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest. 2004;126(3):338S-400S. [DOI] [PubMed]
4. Geersing G, Zuithoff N, Kearon C, Anderson D, Ten Cate-Hoek A, Elf J, et al. Exclusion of deep vein thrombosis using the Wells rule in clinically important subgroups: individual patient data meta-analysis. BMJ. 2014;348:g1340. [DOI]
5. Nutescu EA. Assessing, preventing, and treating venous thromboembolism: evidence-based approaches.Am J Health Syst Pharm. 2007;64(11 Suppl 7):S5-13. [DOI] [PubMed]
6. Cohen A, Skinner J, Warwick D, Brenkel I. The use of graduated compression stockings in association with fondaparinux in surgery of the hip: a multicentre, multinational, randomised, open-label, parallel-group comparative study. J Bone Joint Surg Br Vol. 2007;89(7):887-92. [DOI] [PubMed]
7. Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil. 2006;21(5):375-8. [DOI] [PubMed]
8. Tagliaferri F, Compagnone C, Korsic M, Servadei F, Kraus J. A systematic review of brain injury epidemiology in Europe. Acta Neurochir.. 2006;148(3):255-68. [DOI] [PubMed]
9. Carney N, Totten AM, O'Reilly C, Ullman JS, Hawryluk GW, Bell MJ, et al. Guidelines for the management of severe traumatic brain injury. Neurosurgery. 2017;80(1):6-15.PMID: 27654000 [DOI]
10. Kazemi T, Qasemi M, Taghavi-shawazi M. Epidemiologic study of patients with DVT in Birjand Vali-e-asr hospital-(2009-2014). J Birjand Univ MedSci. 2016;23(1):86-91.http://journal.bums.ac.ir/article-1-1945-en.html
11. Esfahani MA, Sayehmiri F. One Decade “Narcotic Addicted Patients with Deep Vein Thrombosis” in St. Alzahra Hospital of Isfahan, Iran. Addict Health. 2014;6(3-4):127-37. [PubMed]
12. Kucher N, Tapson VF, Goldhaber SZ. Risk factors associated with symptomatic pulmonary embolism in a large cohort deep vein thrombosis patients. ThrombHaemost. 2005;93(03):494-8. [DOI]
13. Fariba F, Jiryaee N, Neshatyar C, Tarbiat M. Evaluation of the frequency ofrisk factors in venous thromboembolic patients admitted to Ekbatan and Farshchian Hospitals in Hamadan from 2012 to 2017. Avicenna J Clin Med. 2019;26(1):60-6. [DOI]
14. Nagamalesh U, Prakash V, Naidu KK, Sarthak S, Hegde AV, Abhinay T. Acutepulmonary thromboembolism: Epidemiology, predictors, and long-term outcome–A single center experience. Indian Heart J. 2017;69(2):160-4. [DOI] [PubMed]
15. Mirza Aghazadeh M, Pirzadeh A, Hariri A M. Correlation between blood groups and venous thromboembolism in hospitalized patients in Ardabil university of medical sciences affiliated centers. J Ardabil Univ Med Sci. 2014;14(1):71-78.
16. Mi Y, Yan S, Lu Y, Liang Y, Li C. Venous thromboembolism has the same risk factors as atherosclerosis: A PRISMA-compliant systemic reviewand meta-analysis. Medicine (Baltimore). 2016;95(32):e4495. [DOI] [PubMed]
17. Kahn SR, Lim W, Dunn AS, Cushman M, Dentali F, Akl EA, et al. Prevention of VTE in nonsurgical patients: antithrombotic therapy and prevention of thrombosis: American college of chest physicians evidence-based clinical practice guidelines. Chest. 2012;141(2):e195S-e226S. [DOI] [PubMed]
18. Golomb BA, Chan VT, Denenberg JO, Koperski S, Criqui MH. Risk marker associations with venous thrombotic events: a cross-sectional analysis. BMJ Open. 2014;4(3):e003208. PMID: 24657882DOI: 10.1136/bmjopen-2013-003208
19. Molahosseini Kahnoji R, Nikoobakht M. The frequency assessment of deep vein thrombosis and its associated risk Factors in patients undergoing neurosurgical procedures. RJMS. 2010;17(77):74-80.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Avicenna Journal of Clinical Medicine

Designed & Developed by : Yektaweb