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Number of results
2009 | 81 | 4 | 180-185

Article title

Frequency of Deep Vein Thrombosis in Immobilized Patients after Spinal Cord Injury and Severe Brain Trauma

Content

Title variants

Languages of publication

EN

Abstracts

EN
Patients after spinal cord injury, severe brain trauma and cerebral stroke (ischemic or hemorrhagic) are often immobilized in bed or wheelchair for months or even years. One of the main risk factor for deep vein thrombosis is just prolonged immobilization.The aim of the study was to evaluate the frequency of symptomatic and asymptomatic thrombosis among immobilized patients because of severe brain damage and spinal cord injury.Material and methods. The study included 59 patients with tetra or paraparesis after severe brain damage or spinal cord injury, hospitalized in the University Hospital in Bydgoszcz in the Department of Rehabilitation over the period 2007-2008. All of them had lower extremities duplex-scan ultrasound as a screening examination and D-dimer testing.Results. Thrombosis was confirmed in nine patients (15% of all examined) and two patients (23%) in his group were of asymptomatic. 77% of diagnosed patients had only low extremities edema. Full symptomatic thrombosis with low extremities edema, increased warmness and redness were observed in 22% of patients.Conclusions. It is advisable to make periodical lower extremities venous system examination to exclude deep vein thrombosis. The risk of missed diagnosis in this group of patients is connected with increased percentage of embolism complications during the rehabilitation process. In patients after spinal cord injury, there are indications to examine the patients' venous system periodically.

Year

Volume

81

Issue

4

Pages

180-185

Physical description

Dates

published
1 - 4 - 2009
online
14 - 5 - 2009

Contributors

  • Department of Physical Medicine and Rehabilitation, Collegium Medicum UMK, Bydgoszcz
  • Department of Physical Medicine and Rehabilitation, Collegium Medicum UMK, Bydgoszcz
  • Department of General Surgery and Vessel Surgery, Collegium Medicum UMK, Bydgoszcz
  • Laboratory of Nuclear Medicine, Department of Endocrinology and Diabetology, Collegium Medicum UMK, Bydgoszcz
  • Department of Physical Medicine and Rehabilitation, Collegium Medicum UMK, Bydgoszcz
  • Department of Laboratory Diagnostics, Collegium Medicum UMK, Bydgoszcz
  • Department of Physical Medicine and Rehabilitation, Collegium Medicum UMK, Bydgoszcz

References

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  • Ghan-Shyam L, Tan-Figueroa L, Silverman S, et al.: The Wheelchair Thrombosis Syndrome. J National Med Association 2006; 98: 1188-92
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  • Brain Trauma Foundation. Deep vein thrombosis prophylaxis. J Neurotrauma 2007; 24(1): 32-26.
  • Simosa HF, Petersen DJ, Suresh KA, et al.: Increase risk of deep venous thrombosis with endovascular cooling in the patient with traumatic head injury. Am Surg 2007; 73(5): 461-65.
  • Geerts WH, Code KI, Jay RM, et al.: A prospective study of venous tromboembolism after major trauma. N Engl J Med 1994; 331(24): 1601-06.
  • Junger M, Diehm C, Storiko H, et al.: Mobilization versus immobilization in the treatment of acute proximal deep venous thrombosis: a prospective, randomized, open, multicentre trial. Current Med Research and Opinion 2006; 22(3): 593-602.
  • Wells PhS: Advances in the diagnosis of venous thromboembolism. J Thromb Thrombolysis 2006; 21(1): 31-40.[Crossref]

Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-009-0027-8
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