Deep Venous Thrombosis in Surgical Intensive Care Unit: Prevalence and Risk Factors

Abstract

The prevalence of DVT in critically ill patients in a Thai surgical ICU was approximately 10.5%. Further research is needed to evaluate the risks and benefits of venous thromboprophylaxis in Thai patients.

Risk factors and incidence of deep vein thrombosis in lower extremities among critically ill patients

“…2005, Muscedere et al. 2007, Wilasrusmee et al. 2009), but was lower than that in other studies (Marik et al.…”

“…Kim and Brophy (2009) also stated that age >40 years was one of the most commonly identified risk factors. Age was significantly different between DVT‐positive and DVT‐negative surgical Thailand ICU patients in univariate analysis, and the mean age of the subjects was 55 years, younger than the 61·3 years of our subjects (Wilasrusmee et al. 2009).…”

“…(2005) suggested that the duration of mechanical ventilation and length of ICU stay were significantly different between patients with and without DVT. The only independent risk factor was a longer ICU stay in the study of surgical ICU patients in Thailand by Wilasrusmee et al. (2009).…”

“…Reported DVT incidence or prevalence rates in critically ill patients vary between 0AE4-31%, depending on the investigated population or the type of prophylaxis provided (Marik et al 1997, Kapoor et al 1999, Geerts et al 2002, Muscedere et al 2007, Nathens et al 2007, Park et al 2008, Xu et al 2008, Chin et al 2009, Taniguchi et al 2009, Wilasrusmee et al 2009). Relatively fewer DVT studies have been conducted in Asian countries.…”

Deep vein thrombosis screening and risk factors in a high-risk trauma population

“…Compared with patients with 1 d ICU LOS, patients with ICU LOS of 4e10 d had more than twice the odds of developing DVT, and patients with ICU LOS >10 d had more than four times the odds of DVT. Longer ICU stays associated with critical illness or injury have been previously demonstrated to pose a higher risk of VTE in a study of 190 surgical ICU patients by Wilasrusmee et al [18], who reported that the odds of VTE increased by 7% per day in the ICU. The relationship between a long ICU stay and the risk of DVT is multifactorial.…”