Pattern of Deep vein thrombosis in two large teaching HospitalsEmergency department (TASH and HUCSH), Ethiopia
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Date
2019-05
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Addis Abeba University
Abstract
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.
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Keywords
Deep vein thrombosis, pulmonary thromboembolism