Browsing by Author "Debebe Aytenew"

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    Pattern of Deep Vein Thrombosis in two Large Teaching Hospitals Emergency Department (TASH and HUCSH), Ethiopia
    (Addis Abeba University, 2019-05) Debebe Aytenew; Engida Hiywot
    Introduction:Deep vein thrombosis is a serious cardiovascular disorder, and causes in-hospital mortality worldwide. It is a multifactorial condition resulting from a complex interaction between genetic predispositions and acquired risk factors. Therefore,the objective of this study is to identify the pattern of DVT specifically common risk factors in ED. Methods:A hospital based cross-sectional retrospective descriptive study was conducted on DVTpatients in TikurAnbessaspecialized hospital and HawassaUniversity comprehensive specialized hospital emergency departments from May 1,2018 – May 1,2019.Data was entered in SPSS version 23and descriptive statistics was done. Results: A total of 128 patients were enrolled in the study. Female patients were more than the half in Sex ratio was M:F (1.25:1) with mean age of 38 years. The common risk factors were active malignancy 36 (28.1%) and equally maternal conditions 36(28.1%), patients having family history of VTE 15(11.7%), having history of VTE(11.7%) heart failure 18 (14.1%) andHIV11 (8.6%). The most affected limbs of the patients were left lower limb which is 84(65.6%) followed by right lower limb 39(30.5%).Patients had left upper limbs DVT were 4(3.1%) and only one patient (0.8%) both lower limbs DVT . Conclusion:The commonest risk factors are active malignancy, maternal conditions (postpartum,pregnancy abortion), and immobility conditions. Although most patients’ have these risk factors, family history of VTE, having history of VTE , heart failure, HIV were identified risk factors in this study and PTE complication is less than expected which can be underdiagnosed.LMWH which is the safest and effective for treatment of VTE was used in small number of patients.