دورية أكاديمية
أعرض في EDS

A Retrospective Study on the Incidence of Pulmonary Embolism in Immobilized Spinal Cord Injury Patients.

التفاصيل البيبلوغرافية
العنوان: A Retrospective Study on the Incidence of Pulmonary Embolism in Immobilized Spinal Cord Injury Patients.
المؤلفون: Ong KL; Spine Unit, Department of Orthopedics, Hospital Sungai Buloh, Ministry of Health Malaysia, Kuala Lumpur, MYS., Zakaria AF; Spine Unit, Department of Orthopedics, Hospital Sungai Buloh, Ministry of Health Malaysia, Kuala Lumpur, MYS., Zainal Abidin NA; Spine Unit, Department of Orthopedics, Hospital Sungai Buloh, Ministry of Health Malaysia, Kuala Lumpur, MYS.
المصدر: Cureus [Cureus] 2023 Oct 25; Vol. 15 (10), pp. e47691. Date of Electronic Publication: 2023 Oct 25 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Introduction The development of pulmonary embolism (PE) remains the main cause of morbidity and mortality in patients with spinal cord injuries. Multiple factors have been identified to predict the presence of PE in spinal cord injury patients, however, local data is scarce. The objective of this study is to evaluate the incidence of PE among spinal cord injury patients and analysis of predictive risk factors. Material and methods This is a retrospective study among spinal cord injury patients admitted to a tertiary hospital in Malaysia between January 2018 and December 2019. All spinal cord injury patients with symptoms suggestive of venous thromboembolism (VTE) such as tachycardia and shortness of breath were included in this study. Demographic data such as age, gender, types of VTE prophylaxis (mechanical or chemical), and radiological findings of computerized tomography pulmonary angiogram (CTPA) were analyzed. Results A total of 373 patients were included in the study. 301 of them have undergone spinal surgery. There were 251 males (75.75%) and 124 females (33.24%). The mean age of the subjects was 48.63 ± 17.45 years. The mean length of hospital stay is 42.74 ± 41.51 days. 151 (40.48%) patients received DVT prophylaxis while 222 (59.52%) patients did not. The incidence of PE among spinal cord injury patients with VTE symptoms is 25 patients (6.70%). Of that, 15 patients received medical treatment only, seven received mechanical and pharmacological prophylaxis and three did not receive any prophylaxis. In the variable analyses, none of the variables (age and types of prophylaxis) could significantly predict the occurrence of VTE. Conclusion PE is a frequent complication in immobilized spinal cord injury patients despite receiving thromboprophylaxis treatment. No strong predictors for PE were identified in the present study. However, patients who received any type of thromboprophylaxis was found to be statistically significant when compared to patients who did not receive any thromboprophylaxis in term of the presence of PE.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Ong et al.)
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فهرسة مساهمة: Keywords: deep vein thrombosis (dvt); prolonged immobilization; pulmonary embolism; spinal cord injury; thromboprophylaxis
تواريخ الأحداث: Date Created: 20231129 Latest Revision: 20231201
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10674072
DOI: 10.7759/cureus.47691
PMID: 38021705
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.47691