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

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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.

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References

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