THE PREVALENCE OF RISK-FACTORS FOR VENOUS THROMBOEMBOLISM AMONG HOSPITAL PATIENTS
THE PREVALENCE OF RISK-FACTORS FOR VENOUS THROMBOEMBOLISM AMONG HOSPITAL PATIENTS
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DOI：
10.1001/archinte.152.8.1660
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发表时间：
1992-08-01
影响因子：
--
通讯作者：
FORCIER, A
中科院分区：
文献类型：
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作者：
ANDERSON, FA;WHEELER, HB;FORCIER, A
背景。-这项研究提供了一个估计的患病率的风险factorsMethods。静脉血栓栓塞危险因素的存在是通过对马萨诸塞州中心16家急诊医院随机选择的1000例患者的病历进行回顾性分析来确定的。静脉血栓栓塞最常见的危险因素是年龄40岁（59%）或以上，肥胖（28%）和大手术（23%）。危险因素的平均数量随着年龄的增长而增加。78%的住院患者存在一种或多种静脉血栓栓塞的危险因素，48%的患者存在两种或多种危险因素，19%的患者存在三种或多种危险因素，6%的患者存在四种或多种危险因素，1%的患者存在五种或多种危险因素。静脉血栓栓塞的危险因素在住院患者中很常见，这表明预防措施应该广泛使用。在接受大手术的患者中，预防性治疗的成本效益和风险获益已得到充分证实。需要进一步的研究来证实预防性治疗在有非手术静脉血栓栓塞危险因素的患者中的益处。
Background.-This study provides an estimate of the prevalence of risk factorsMethods.-The presence of risk factors for venous thromboembolism was determined from a retrospective review of the medical records of 1000 randomly selected patients in 16 acute care hospitals in central Massachusetts.Results.-The most common risk factors for venous thromboembolism were age 40 years (59%) or more, obesity (28%), and major surgery (23%). The average number of risk factors increased with increasing age. One or more risk factors for venous thromboembolism were present in 78% of hospital patients, two or more in 48%, three or more in 19%, four or more in 6%, and five or more in 1%.Conclusion.-Risk factors for venous thromboembolism are common among hospital patients, suggesting that prophylaxis should be widely employed. The cost-effectiveness and risk benefit of prophylaxis is well established in patients undergoing major surgery. Further studies are needed to confirm the benefit of prophylaxis in patients with nonsurgical risk factors for venous thromboembolism.