Evaluation of Risk Factors of Venous Thromboembolism in Imam Sadiq Teaching Hospital at Babylon City

Authors

  • Intisar Mahdi Kadhim Almurshedi College of Health & Medical Technology - Baghdad, Middle Technical University, Baghdad, Iraq
  • Amel Mustafa Kamil College of Health & Medical Technology - Baghdad, Middle Technical University, Baghdad, Iraq
  • Aqeel Abbas Noaman Technical Institute / Baquba, Middle Technical University, Baghdad, Iraq

DOI:

https://doi.org/10.51173/jt.v4i33.632

Keywords:

Venous thromboembolism, Deep venous thrombosis, Pulmonary embolism, Obstructive sleep apnea syndrome, Risk factors

Abstract

Venous thromboembolism (VTE), a term referring to blood clots in the veins, is an underdiagnosed and dangerous, yet avoidable, medical illness that can result in disability and mortality. When a blood clot develops in a deep vein, commonly in the lower leg, thigh, or pelvis, it is referred to as a deep vein thrombosis (DVT). To evaluate the risk factors of VTE between cases and controls in the hospital Imam Sadiq Teaching in Babylon City and to predict variables that contribute to the risk factors of VTE among the studied samples. The study was conducted in a hospital, Imam Sadiq Teaching in Babylon, Iraq, and was designed as a case control. There were 165 participants (55 cases and 110 controls). Data was collected during a four-month period. The findings show that there are no significant sociodemographic risk factors for VTE, with the most significant being obstructive sleep apnea syndrome (p. value < 0.05) among patients. The frequency of exercise in patients with VTE and the control group was 20.0%, 36.4% respectively, at a significant level (P. value < 0.05). There was no significant association between risk factors for females and VTE (P. value > 0.05) except for used contraceptive pills and a history of a cesarean operation. There was no significant link between medical history and the outcome of this investigation (hypertension, diabetes, heart disease, and lung diseases) ... except kidney disease was likely at a higher risk of VTE than participants who had no kidney disease. Although there is no significant relationship between sociodemographic and VTE, the study found that there was a very high correlation between the risk of obstructive sleep apnea syndrome, caesarean sections, oral contraceptives, and renal disease with VTE.

Downloads

Download data is not yet available.

References

Geerts WH, Bergqvist D, Pineo GF, Heit JA, Samama CM, Lassen MR, Colwell CW:(2008) Prevention of venous thromboembolism: American College of Chest Physicians evidence-based clinical practice guidelines.

Barnes, G. D., Froehlich, J. B., Kanthi, Y., & Wakefield, T. W. (2014). Venous thromboembolism: Diagnosis, treatment and the prevention of long-term complications. Reviews in Vascular Medicine, 2(4), 136–142.

Brownson, K. E., Brahmandam, A., Huynh, N., Reynolds, J., Fares, W. H., Lee, A. I., Dardik, A., & Chaar, C. I. O. (2017). Characteristics of provoked deep venous thrombosis in a tertiary care center. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 5(4), 477–484.

Byrnes, J. R., & Wolberg, A. S. (2017). New findings on venous thrombogenesis. Hämostaseologie, 37(01), 25–35.

Beckman, M. G., Hooper, W. C., Critchley, S. E., & Ortel, T. L. (2010). Venous thromboembolism: a public health concern. American Journal of Preventive Medicine, 38(4), S495–S501.

Elkhadir, A., Wazzan, M., Abduljabbar, A., Badwi, N. M., Hendi, F. M., Al-Shomrani, K. M., & Al-Malawi, A. A. (2018). Research Article Prevalence of Deep Venous Thrombosis (DVT) in Jeddah. Diabetes, 260, 16–57.

Bokshan, S. L., DeFroda, S. F., Panarello, N. M., & Owens, B. D. (2018). Risk factors for deep vein thrombosis or pulmonary embolus following anterior cruciate ligament reconstruction. Orthopaedic Journal of Sports Medicine, 6(6), 2325967118781328.

Mraovic, B., Hipszer, B. R., Epstein, R. H., Pequignot, E. C., Parvizi, J., & Joseph, J. I. (2010). Preadmission hyperglycemia is an independent risk factor for in-hospital symptomatic pulmonary embolism after major orthopedic surgery. The Journal of Arthroplasty, 25(1), 64–70.

Epstein, M. D., Segal, L. N., Ibrahim, S. M., Friedman, N., & Bustami, R. (2010). Snoring and the risk of obstructive sleep apnea in patients with pulmonary embolism. Sleep, 33(8), 1069–1074.

Alonso-Fernández, A., de la Peña, M., Romero, D., Piérola, J., Carrera, M., Barceló, A., Soriano, J. B., Suquia, A. G., Fernández-Capitán, C., & Lorenzo, A. (2013). Association between obstructive sleep apnea and pulmonary embolism. Mayo Clinic Proceedings, 88(6), 579–587.

Bahar, Y., Annakkaya, A. N., Sen, C., Oktay, M., Aytekin, F., & Balbay, O. (2020). Assessment of the frequency of deep venous thromboembolism in obstructive sleep apnea syndrome. The Aging Male, 23(5), 1016–1021.

Genuardi, M. V, Rathore, A., Ogilvie, R. P., DeSensi, R. S., Borker, P. V, Magnani, J. W., & Patel, S. R. (2021). Incidence of venous thromboembolism in patients with obstructive sleep apnea: a cohort study. Chest, 161(4), 1073–1082.

American Academy of Sleep Medicine. (1999). The report of an American Academy of Sleep Medicine task force: sleep-related breathing disorders in adults; recommendations for syndrome definition and measurement techniques in clinical research. Sleep, 22, 667–689.

Ozen, G., Pedro, S., Schumacher, R., Simon, T., & Michaud, K. (2020). Risk of Subsequent Atherosclerotic Cardiovascular Disease After the First Unprovoked Venous Thromboembolism in Patients with Rheumatoid Arthritis. Diabetes, 8(17.8), 0–1.

Li, Q., Chen, X., Wang, Y., & Li, L. (2018). Analysis of the occurrence of deep venous thrombosis in lower extremity fractures: A clinical study. Pakistan Journal of Medical Sciences, 34(4), 828.

Tanaka, K., Kamada, H., Shimizu, Y., Aikawa, S., Nishino, T., Ochiai, N., Sakane, M., & Yamazaki, M. (2016). The use of a novel in-bed active Leg Exercise Apparatus (LEX) for increasing venous blood flow. Journal of Rural Medicine, 11(1), 11–16.

Group, E. C. W., Eichinger, S., Evers, J. L. H., Glasier, A., La Vecchia, C., Martinelli, I., Skouby, S., Somigliana, E., Baird, D. T., & Benagiano, G. (2013). Venous thromboembolism in women: a specific reproductive health risk. Human Reproduction Update, 19(5), 471–482.

Jeremiah, Z. A., Adias, T. C., Opiah, M., George, S. P., Mgbere, O., & Essien, E. J. (2012). Elevation in D-dimer concentrations is positively correlated with gestation in normal uncomplicated pregnancy. International Journal of Women’s Health, 4, 437.

Goodacre, S., Sampson, F., Thomas, S., van Beek, E., & Sutton, A. (2005). Systematic review and meta-analysis of the diagnostic accuracy of ultrasonography for deep vein thrombosis. BMC Medical Imaging, 5(1), 1–13.

Van Hylckama Vlieg, A, Helmerhorst, F. M., Vandenbroucke, J. P., Doggen, C. J. M., & Rosendaal, F. R. (2009). The venous thrombotic risk of oral contraceptives, effects of oestrogen dose and progestogen type: results of the MEGA case-control study. Bmj, 339.

Van Hylckama Vlieg, Astrid, Helmerhorst, F. M., & Rosendaal, F. R. (2010). The risk of deep venous thrombosis associated with injectable depot–medroxyprogesterone acetate contraceptives or a levonorgestrel intrauterine device. Arteriosclerosis, Thrombosis, and Vascular Biology, 30(11), 2297–2300.

Lidegaard, Ø., Løkkegaard, E., Svendsen, A. L., & Agger, C. (2009). Hormonal contraception and risk of venous thromboembolism: national follow-up study. Bmj, 339.

Meneilly, Z., & McCutcheon, K. (2013). Deep vein thrombosis and Caesarean section. Journal of Perioperative Practice, 23(1–2), 17–21.

Van Hylckama Vlieg, A, & Middeldorp, S. (2011). Hormone therapies and venous thromboembolism: where are we now? Journal of Thrombosis and Haemostasis, 9(2), 257–266.

Group, E. C. W., Eichinger, S., Evers, J. L. H., Glasier, A., La Vecchia, C., Martinelli, I., Skouby, S., Somigliana, E., Baird, D. T., & Benagiano, G. (2013). Venous thromboembolism in women: a specific reproductive health risk. Human Reproduction Update, 19(5), 471–482.

Jacobsen, A. F., Drolsum, A., Klow, N. E., Dahl, G. F., Qvigstad, E., & Sandset, P. M. (2004). Deep vein thrombosis after elective cesarean section. Thrombosis Research, 113(5), 283–288.

Cruz, M., Fernández-Alonso, A. M., Rodríguez, I., Garrigosa, L., Caño, A., Carretero, P., Vizcaíno, A., & Gonzalez-Ramirez, A. R. (2011). Postcesarean thromboprophylaxis with two different regimens of bemiparin. Obstetrics and Gynecology International, 2011.

Yu, Y., Tu, J., Lei, B., Shu, H., Zou, X., Li, R., Huang, C., Qu, Y., & Shang, Y. (2020). Incidence and risk factors of deep vein thrombosis in hospitalized COVID-19 patients. Clinical and Applied Thrombosis/Hemostasis, 26, 1076029620953217.

Lu, H.-Y., & Liao, K.-M. (2018). Increased risk of deep vein thrombosis in end-stage renal disease patients. BMC Nephrology, 19(1), 1–9.

Wattanakit, K., & Cushman, M. (2009). Chronic kidney disease and venous thromboembolism: epidemiology and mechanisms. Current Opinion in Pulmonary Medicine, 15(5), 408.

Niu, S., Li, J., Zhao, Y., Ding, D., Jiang, G., & Song, Z. (2021). Preoperative deep venous thrombosis (DVT) after femoral neck fracture in the elderly, the incidence, timing, location and related risk factors. BMC Musculoskeletal Disorders, 22(1), 1–9.

Downloads

Published

2022-11-15

How to Cite

Almurshedi, I. M. K. ., Kamil , A. M. ., & Noaman, A. A. . (2022). Evaluation of Risk Factors of Venous Thromboembolism in Imam Sadiq Teaching Hospital at Babylon City. Journal of Techniques, 4(Special Issue), 58–63. https://doi.org/10.51173/jt.v4i33.632

Most read articles by the same author(s)

Similar Articles

<< < 1 2 3 4 5 

You may also start an advanced similarity search for this article.