Article Sidebar

PDF (Tiếng Việt)
Published: 2021-02-26
Abstract Views: 273
Views PDF (Tiếng Việt): 222
DOI: https://doi.org/10.52852/tcncyh.v137i1.42
Issue
Vol. 137 No. 1 (2021)
Section
Các bài báo
How to Cite
Phương, N. T. T. ., Nha, P. B. ., & Hương, Đinh T. T. . (2021). Venous thromboembolism and risk factors on gynecologic surgery patients at Bach Mai hospital in 2018. Journal of Medical Research, 137(1), 207-212. https://doi.org/10.52852/tcncyh.v137i1.42

Venous thromboembolism and risk factors on gynecologic surgery patients at Bach Mai hospital in 2018

Nguyen Thi Thu Phuong, Pham Ba Nha, Dinh Thi Thu Huong

Main Article Content

Abstract

Venous thromboembolism (VTE) includes disorders associated with the presence of thrombosis in the venous circulation, including deep venous thrombosis (DVT) and pulmonary embolism (PE). The disease though not unco mmon in surgical procedures, including gynecological surgery with many risk factors, was not focused on until significant events occurred, including the risk of death. There is no clear survey data available in Vietnam. The purpose of this study is to describe the risk factors of VTE in gynecology surgery at Department of Obstetrics and Gynecology, Bach Mai Hospital in 2018. A cross - sectional descriptive study was conducted on 331 gynecology surgery patients at Department of Obstetrics and Gynecology, Bach Mai Hospital from January to December 31, 2018. Results showed the incidence of VTE was 4.2%; age, malignancy and major surgery (surgery time of 45 minutes) are risk factors strongly associated with venous thrombosis in gynecological surgery patients (p < 0,05); Specifically, patients with thrombosis are 45 years of age or older (100%) and those with benign pathologies have a lower incidence than those with malignancies (p < 0,001); 100% of cases have surgery time of 45 minutes. In conclusion, age over 45, malignancy and major surgery (surgery time of 45 minutes) are risk factors associated with venous thrombosis in gynecological surgery patients.

Article Details

Keywords

Venous thromboembolism, Gynecological surgery

References

1. Hirsh J., et al. (1996), “Management of deep vein thrombosis and pulmonary embolism. A statement for Healthcare professionals”, Council on Thrombosis (in consultation with the Coucil on Cardiovascular Radio logy), 93, tr. 222 – 45
2. Ibrahim EH, et al, (2002) Deep vein thrombosis during prolonged mechanical ventilation despite prophylaxis, 2002, 30: 771
3. Lihua Zhang Yunxia Xue, Xiancui Liu, “Analysis off deep venous thrombosis after gyneco logical surgery: A clinical study of 498 cases”, Pak J Med Sci, 2015;31 (2), tr. 453 - 456.
4. Elisabeth A Erekson Sallis O. Yip, et al, “Postoperative complication after gynecoligic surgery”, Obstet Gynecol, 2011;118 (4), tr. 785 - 793
5. Albert W. Tsai Mary Cushman, Richard H. W., et al., (2004), “Deep vein thrombosis and pulmonary embolism in two cohorts: The longitudinal investigation of thromboemlbolism etio logy”, The American journal of medicine, 117, tr. 19 - 25
6. Geerts WH., “Prevention of venous thromboembolism: the seventh ACCP conference on antithrombotic and thrombotic therapy”, Chest, 2004;126, tr. 338 - 400
7. Mary Cushman Albert W Tsai, et al, “Deep vein thrombosis and pulmonary embolism in two cohorts: The longitudinal investigation of thromboembolism etio logy”, AmJ Med, 2004;117, tr. 19 - 25.
8. Giancarlo Agnelli et al., “A clincal outcome - based prospective study on venous thromboembolism after cancer surgery”, Annals of surgery, 2006; 243 (1), tr. 89 - 95.
9. R lyer et al., “Predictors of complications in gynaeco logical onco logical surgery: a prospetive multicentrestudy (UKGOSOC - UK gynaeco logical onco logy gurgical outcomes and complications)”, British Journal of Cancer, 2015;112, tr. 475 - 484.