医療集中治療室の患者の間で深静脈血栓症の有病率
D R Hirsch1, E P Ingenito, S Z Goldhaber
1Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA.
JAMA
|July 26, 1995
まとめ
深い静脈血栓症 (DVT) は,予防療法にもかかわらず,医療集中治療室 (MICU) の患者の33%で発生しました. 伝統的な危険因子は,この高リスク集団において,DVTの発症を予測できませんでした.
科学分野:
- クリティカルケア・メディシン
- 血管医学 血管医学とは
- 診断用イメージング
背景:
- 深静脈血栓症 (DVT) は,重症患者の重要な懸念事項です.
- 医療集中治療室 (MICU) で,DVTの危険因子と効果的な予防戦略を特定することは極めて重要です.
研究 の 目的:
- 医療集中治療室 (MICU) に入院した患者におけるDVTの発生率を決定する.
- MICU患者におけるDVTの予測における伝統的なDVTリスク因子の有効性を評価する.
主な方法:
- 100人の適格なMICU患者を含む将来の超音波症例シリーズ.
- カラードップラー画像を用いた超音波検査は,週2回,出院前に行われます.
- 含有基準: 18歳以上の患者で,予期されるMICU滞在時間は48時間以上です.
主要な成果:
- DVTは33%の患者で検出され,近接下肢DVTは48%で,上肢DVTは15%でした.
- DVTのある患者とない患者の間で,従来の危険因子 (年齢,BMI,がん,手術) に関する有意な差異は認められなかった.
- 61%がDVT予防を受けたにもかかわらず,DVTの発生率は予想外にも高かった.
結論:
- MICU患者におけるDVTの発生率は,以前認識されていたより高い.
- 伝統的なDVTの危険因子は,MICUで高リスク患者を特定するのに不十分です.
- MICU患者の場合,定期的な超音波検査または強化された予防療法が必要になる可能性があります.
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