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Clinical features and risk factor analysis for lower extremity deep venous thrombosis in Chinese neurosurgical patients


, : Clinical features and risk factor analysis for lower extremity deep venous thrombosis in Chinese neurosurgical patients. Journal of Neurosciences in Rural Practice 6(4): 471-476

Deep venous thrombosis (DVT) contributes significantly to the morbidity and mortality of neurosurgical patients; however, no data regarding lower extremity DVT in postoperative Chinese neurosurgical patients have been reported. From January 2012 to December 2013, 196 patients without preoperative DVT who underwent neurosurgical operations were evaluated by color Doppler ultrasonography and D-dimer level measurements on the 3(rd), 7(th), and 14(th) days after surgery. Follow-up clinical data were recorded to determine the incidence of lower extremity DVT in postoperative neurosurgical patients and to analyze related clinical features. First, a single factor analysis, Chi-square test, was used to select statistically significant factors. Then, a multivariate analysis, binary logistic regression analysis, was used to determine risk factors for lower extremity DVT in postoperative neurosurgical patients. Lower extremity DVT occurred in 61 patients, and the incidence of DVT was 31.1% in the enrolled Chinese neurosurgical patients. The common symptoms of DVT were limb swelling and lower extremity pain as well as increased soft tissue tension. The common sites of venous involvement were the calf muscle and peroneal and posterior tibial veins. The single factor analysis showed statistically significant differences in DVT risk factors, including age, hypertension, smoking status, operation time, a bedridden or paralyzed state, the presence of a tumor, postoperative dehydration, and glucocorticoid treatment, between the two groups (P < 0.05). The binary logistic regression analysis showed that an age greater than 50 years, hypertension, a bedridden or paralyzed state, the presence of a tumor, and postoperative dehydration were risk factors for lower extremity DVT in postoperative neurosurgical patients. Lower extremity DVT was a common complication following craniotomy in the enrolled Chinese neurosurgical patients. Multiple factors were identified as predictive of DVT in neurosurgical patients, including the presence of a tumor, an age greater than 50 years, hypertension, and immobility.

US$19.90

PMID: 26752303

DOI: 10.4103/0976-3147.169801


Other references

Aksenova, N.N.; Vakhtin, J.B.; Vorobyev, V.I.; Olenov, J.M., 1965: Effect of ribonuclease on anti-tumor activity of ribonucleic acid from normal tissues. Nature 207(992): 40-42

Mitra, S., 1955: The role of surgery in the treatment of cancer of the cervix. Acta - Unio Internationalis Contra Cancrum 11(5): 588-593

Borowiec, M., 1973: Effects of various soil tillage methods on physical properties of soil and potato yields. In field trials in 1967-9, potatoes were planted in soil ploughed in autumn and worked with a cultivator, plough or plough rotavator in spring or were planted after a winter catch crop with ploughing and rotavation or with spraying with Gramoxone...

Steece, R.S.; Talley, M.S.; Skeels, M.R.; Lanier, G.A., 1985: Comparison of enzyme-linked immunosorbent assay, hemagglutination inhibition, and passive latex agglutination for determination of rubella immune status. Hemagglutination inhibition, enzyme-linked immunosorbent assay (ELISA), and passive latex agglutination were used to test 495 human serum samples for determination of rubella immunity. Overall agreements for immune status were as follows: hemagglu...

Burnette J.; Ellis N.; Blackmon J.; Blakemore W., 1987: Prognostic value of nuclear dna content in breast malignancy. Federation Proceedings 46(3): 999

Iber P.K., 1970: Immuno chemical studies of human antibodies in endemic malaria. Annual Progress Report of the S E A T O (South East Asia Treaty Organization) Medical Research Laboratories : 1971

Dudar', L.V., 1994: On the pathogenesis of ulcer disease. Likars'ka Sprava 0(7-8): 14-16

Middleton H.M.IIi, 1983: Uptake of nicotinic acid by the rat intestinal mucosa in vitro. Clinical Research 31(5): 871A

Ma, C.; Xiao, R.J.; Geng, H.X.; Yang, H.X.; Tian, H.F.; Che, G.C.; Li, J.Q., 2007: Investigation of hole states near the Fermi level in Nb(1-)(x)Mg(x)B(2) by electron energy-loss spectroscopy and first-principles calculations. The fine structures of the electron energy-loss spectra (EELS) for the B-K edge have been examined in NbB(2) and superconducting Nb(0.75)Mg(0.25)B(2). The experimental results are analyzed based on the calculations of density functional theory (DF...

Myhre D.V., 1968: Glyco lipids of soft wheat m flour i isolation and characterization of 1 0 6 0 acyl beta d galactopyransoyl 2 3 di 0 acyl d glyceritols and phytosteryl 6 0 acyl beta d gluco pyranosides. Canadian Journal of Chemistry 46(19): 3071-3077