Deep venous thrombosis in patients with acute cervical spinal cord injury in a Japanese population: assessment with Doppler ultrasonography
| Autor: | Masato Tanaka, Masao Tomioka, Kie Nakago, Yasuhiro Hasegawa, Yukihisa Yagata, Yasuo Ito, Yoshihisa Sugimoto |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Comorbidity Risk Assessment Severity of Illness Index Age Distribution Injury Severity Score Japan Severity of illness Medicine Humans Orthopedics and Sports Medicine cardiovascular diseases Sex Distribution Ultrasonography Doppler Color Spinal cord injury Spinal Cord Injuries Aged Retrospective Studies Venous Thrombosis business.industry Incidence (epidemiology) Incidence Retrospective cohort study Middle Aged medicine.disease Surgery Venous thrombosis medicine.anatomical_structure Orthopedic surgery Acute Disease Cervical Vertebrae Female business Pulmonary Embolism Cervical vertebrae Follow-Up Studies |
| Zdroj: | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association. 14(4) |
| ISSN: | 1436-2023 |
| Popis: | Deep venous thrombosis (DVT) and pulmonary thromboembolism are major complications in patients with acute spinal cord injury. The incidence of DVT in patients with a spinal cord injury has ranged from 5% to 26% in several countries; however, the incidence in Japan is unknown.We retrospectively assessed 52 patients with acute cervical spinal cord injury. According to the American Spinal Injury Association Impairment Scale (AIS) at admission, 17 patients were grade A, 15 grade B, 17 grade C, and 3 grade D. These patients were assessed for a DVT using color Doppler ultrasonography (US) regardless of whether they were symptomatic. As standard protocol, we perform Doppler US 5 days after injury; however, this retrospective research included patients who were assessed 2-13 days after injury.In this study, 11 of 52 (21%) patients had DVT. Three patients had DVT of the right leg, six of the left leg, and two of bilateral legs. There were two proximal-type DVTs and nine distal-type DVTs. No patients had a symptomatic thrombopulmonary embolism. In all, 10 of 41 (24%) men had DVT and 1 of 11 (9%) women had DVT (P = 0.26). A total of 7 of 32 (22%) patients who had complete motor palsy (AIS A or B) had DVT, and 4 of 20 (20%) with incomplete motor palsy (AIS C or D) had DVT (P = 0.58). DVT was found 2-13 days after injury.In this study of the Japanese population, 11 of 52 (21%) patients with acute cervical spinal cord injury had DVT. Several studies showed there were no differences in the incidence of DVT between patients with complete or incomplete palsy, and our study showed the same results. Many asymptomatic patients had DVT, so asymptomatic patients should not be neglected. |
| Databáze: | OpenAIRE |
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