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Category: Volume 07 Issue 04 April 2019
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Title: Screening for Deep Vein thrombosis and pulmonary embolism in bed ridden patients in a tertiary care hospital in Central India

Authors: Kapil Kant Tripathi, TN Dubey, KK Kavre, BS Yadav

 DOI: https://dx.doi.org/10.18535/jmscr/v7i4.163

Abstract

Introduction: Venous thromboembolism (VTE) is a common and potentially life threatening condition. Among cardiovascular diseases VTE is third most common cause of death. Many studies done in western countries have shown this condition to be very common. Studies done in Asian countries showed that this condition is not uncommon in asian patients as was thought earlier. Hence this study was planned to evaluate incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE) in bed ridden patients.

Materials and Methods: This was an observational study in which 200 patients who were bedridden for more than 3 days were enrolled. All the routine examination like coagulation profile, D-Dimer, venous colour Doppler, and CT angiography was done. Data analysis was done using SPSS software. Data was expressed as mean ± SD. P value <0.05 was considered significant.

Result: Mean age of patients in the study was 43±14 out of which 117 were female and 83 were male subjects. Mean D-dimer value of patients in the study was 714±80. Out of 200 patients enrolled in the study 42 patients had DVT and 14 patients had PE.

Conclusion: As observed in the study there is high a risk of developing DVT and PE in the patient even if the patient is non- ambulatory for 3 days. Thus bed ridden patients should be screened for DVT, also anticoagulation should be started in such patients prophylactically.

Keywords: Deep Vein Thrombosis (DVT), Bed ridden patients, Venous thromboembolism (VTE).

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Corresponding Author

TN Dubey

Professor and Head, Department of Medicine, Gandhi Medical College, Bhopal, MP, India