2010, Number 1
Riesgo de enfermedad tromboembólica venosa en pacientes con enfermedad aguda internados en urgencias
Cabrera RA, Laguna HG, Reyes LD, Torres NP, Díaz AF, Graciano GL, Bárcenas OM, García MP, Rangel SS, Castillo AG, Santiago RA, Gutiérrez CP
Language: Spanish
References: 10
Page: 31-35
PDF size: 269.19 Kb.
ABSTRACT
Background: Venous thromboembolic disease is a serious public health problem throughout the world and a major cause of potentially preventable deaths in hospitals. It is necessary to know the risk factors for venous thromboembolic from the emergency services.Objetive: Knowing the risk factors for venous thromboembolic in patients with acute illness in the emergency boarding Patients and methods: Adult patients admitted in emergency during the months of January and February 2009 were evaluated according to the number and characteristics of risk factors for venous thromboembolic defined by the ACCP guidelines. Based on the number of risk factors determined the possibility of developing venous thromboembolic.
Results: During the study period were admitted to the emergency room observation 2.050 adult patients, of whom 1.980 were considered eligible patients. The average age is 58.5 years. 920 men and 1.060 women. 970 patients were over 60 years of age. Obesity and peripheral venous insufficiency were reported in 26% of cases, chronic renal failure was found in 376 patients. 257 had prolonged immobilization and in 158 established diagnosis of any malignancy. Over 80% of patients have at least two risk factors for VTE and 70% high risk for developing VTE (more than three risk factors).
Conclusion: Most patients admitted to the emergency have high or very high risk to develop VTE. You must make an analysis of the number of risk factors and effective prophylactic measures to reduce morbidity and mortality of this disease.
REFERENCES