DEEP VENOUS THROMBOSIS (DVT) IN INTENSIVE CARE UNIT (ICU) AND PREVENTION

2017 ◽  
pp. 74-78
Author(s):  
Duc Thao Mai ◽  
Quoc Tuan Dang
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Doppler Ultrasound ◽  
Apache Ii Score ◽  
Icu Patients ◽  
Vein Thrombosis ◽  
Dvt Prophylaxis ◽  
Key Words Incidence

Purpose: To determine the rate of Deep Venous Thrombosis (DVT) in intensive care unit (ICU) patients. Effective DVT prophylaxis with low-molecular-weight heparin in ICU patients. Materials and method: Descriptive Study. 120 patients were admitted ICU from June, 2016 to January, 2016. with age > 18 years, APACHE II score> 18 and is expected to lie ≥ 6 days of treatment, and quantitative D-dimer, doppler ultrasound lower limb venous doppler have pressed. Follow up and re-test the Doppler ultrasound scan after 7 days, 14 days, 21 days and end after 1 month. Results: (i) In our study the rate of DVT is 46.7%, which essentially undetectable at the time of admission of patients at 76.8% and 23.2% being in the days following. (ii) 34% of patients are used prophylactic DVT, The incidence of DVT in the group prophylaxis is lower than with no prophylaxis, this is statistically significant with P <0.001. Conclusion: (i) The incidence of DVT in ICU patients in the study 46.7%. (ii) 34% of patients with DVT prophylaxis, DVT prophylaxis is effective with P <0.001. Key words: Incidence, deep vein thrombosis, prevention

The Clinical Diagnosis Of Deep Venous Thrombosis

1981 ◽  
Author(s):  
E Briët ◽  
M J Boekhout-Mussert ◽  
L H van Hulsteijn ◽  
C W Koch ◽  
H W C Loose ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Doppler Ultrasound ◽  
Clinical Examination ◽  
False Positive ◽  
False Negative ◽  
Diagnostic Strategies ◽  
Vein Thrombosis ◽  
Deep Vein

Fifty-three patients were examined because of suspected deep venous thrombosis, by means of clinical examination, Doppler ultrasound and venography. Eighty-two legs were examined with all three methods. Venography was positive in 40 and normal in 42. The clinical examination was false positive in 4 legs and false negative in 6. The Doppler ultrasound studies gave false positive results in 3 legs and false negative results in 6. These results are better than those reported in the literature probably because the thrombosis extended to the popliteal vein or the more proximal veins in 38 of the 40 legs with deep vein thrombosis. This high percentage of upper leg vein thrombosis can be explained by the fact that 47 of the 53 patients were ambulant when they developed the signs and symptoms of thrombosis. It is concluded, that the clinical examination and Doppler ultrasonography can be used to diagnose deep vein thrombosis in ambulant patients in our clinic. We presume that the findings reported in the literature cannot be used indiscriminately as a basis for diagnostic strategies in other hospitals because of widely varying categories of patients, referral patterns and diagnostic criteria that are virtually impossible to standardize.

scholarly journals Deep Venous Thrombosis in Surgical Intensive Care Unit: Prevalence and Risk Factors

2009 ◽  
Vol 32 (2) ◽  
pp. 85-88 ◽  
Author(s):  
Chumpon Wilasrusmee ◽  
Kidakorn Kiranantawat ◽  
Suthas Horsirimanont ◽  
Panuwat Lertsithichai ◽  
Pinmanee Reodecha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Surgical Intensive Care Unit ◽  
Surgical Intensive Care

Deep venous thrombosis: clinically silent in the intensive care unit

2005 ◽  
Vol 20 (4) ◽  
pp. 334-340 ◽  
Author(s):  
Mark A. Crowther ◽  
Deborah J. Cook ◽  
Lauren E. Griffith ◽  
Phillip J. Devereaux ◽  
Christian C. Rabbat ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis

IMPACT OF TIME OF ADMISSION ON DEEP VEIN THROMBOSIS DVT PROPHYLAXIS IN A CLOSED MEDICAL INTENSIVE CARE UNIT

CHEST Journal ◽  
2007 ◽  
Vol 132 (4) ◽  
pp. 625C
Author(s):  
Hani Jaouni ◽  
Shadi Haddadin ◽  
Lenora Adams ◽  
Joshua S. Botdorf ◽  
Maen B. Nusair ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Deep Vein Thrombosis ◽  
Medical Intensive Care Unit ◽  
Vein Thrombosis ◽  
Dvt Prophylaxis ◽  
Medical Intensive Care ◽  
Time Of Admission ◽  
Deep Vein

The Utility of Acute Physiology and Chronic Health Evaluation II Scores for Prediction of Mortality among Intensive Care Unit (ICU) and Non-ICU Patients with Methicillin-Resistant Staphylococcus aureus Bacteremia

2012 ◽  
Vol 33 (6) ◽  
pp. 558-564 ◽  
Author(s):  
Vanessa Stevens ◽  
Thomas P. Lodise ◽  
Brian Tsuji ◽  
Meagan Stringham ◽  
Jill Butterfield ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Staphylococcus Aureus ◽  
Intensive Care ◽  
Hospital Mortality ◽  
Chronic Health Evaluation ◽  
Apache Ii ◽  
Apache Ii Score ◽  
Health Evaluation ◽  
Icu Patients ◽  
Time Points

Objective.Bloodstream infections due to methicillin-resistant Staphylococcus aureus (MRSA) have been associated with significant risk of in-hospital mortality. The acute physiology and chronic health evaluation (APACHE) II score was developed and validated for use among intensive care unit (ICU) patients, but its utility among non-ICU patients is unknown. The aim of this study was to determine the ability of APACHE II to predict death at multiple time points among ICU and non-ICU patients with MRSA bacteremia.Design.Retrospective cohort study.Participants.Secondary analysis of data from 200 patients with MRSA bacteremia at 2 hospitals.Methods.Logistic regression models were constructed to predict overall in-hospital mortality and mortality at 48 hours, 7 days, 14 days, and 30 days using APACHE II scores separately in ICU and non-ICU patients. The performance of APACHE II scores was compared with age adjustment alone among all patients. Discriminatory ability was assessed using the c-statistic and was compared at each time point using X2 tests. Model calibration was assessed using the Hosmer-Lemeshow goodness-of-fit test.Results.APACHE II was a significant predictor of death at all time points in both ICU and non-ICU patients. Discrimination was high in all models, with c-statistics ranging from 0.72 to 0.84, and was similar between ICU and non-ICU patients at all time points. APACHE II scores significantly improved the prediction of overall and 48-hour mortality compared with age adjustment alone.Conclusions.The APACHE II score may be a valid tool to control for confounding or for the prediction of death among ICU and non-ICU patients with MRSA bacteremia.

Glucose Disturbances and Atypical Antipsychotic Use in the Intensive Care Unit

2016 ◽  
Vol 29 (6) ◽  
pp. 534-538 ◽  
Author(s):  
Amy Bishara ◽  
Stephanie V. Phan ◽  
Henry N. Young ◽  
T. Vivian Liao
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patient Outcomes ◽  
Atypical Antipsychotic ◽  
Atypical Antipsychotics ◽  
Apache Ii Score ◽  
Icu Patients ◽  
Acute Hyperglycemia ◽  
The Impact ◽  
Chronic Use

Purpose: Chronic use of atypical antipsychotics may lead to metabolic abnormalities including hyperglycemia. Although evidence supports acute hyperglycemic episodes associated with atypical antipsychotic use, the acute use of atypical antipsychotics in the intensive care unit (ICU) setting has not been studied. The purpose of this study is to evaluate the occurrence of hyperglycemia in ICU patients receiving newly prescribed atypical antipsychotic. Summary: Of the 273 patient charts reviewed, 50 patients were included in this study. Approximately 45% of patients experienced at least 1 hyperglycemic episode (blood glucose >180 mg/dL) after the initiation of an atypical antipsychotic in the ICU. Of the patients experiencing at least 1 hyperglycemic episode, 60% experienced multiple distinct hyperglycemic episodes. In this study, quetiapine was the most commonly used atypical antipsychotic, 19 (38%) patients were discharged from the ICU on the atypical antipsychotic, 6 (12%) patients died in the ICU, and 31 (62%) patients were treated with an antihyperglycemic agent. Logistic regression analysis showed that women and ICU patients with a higher Acute Physiology and Chronic Health Evaluation II (APACHE II) score were significantly more likely to have multiple hyperglycemic episodes. Conclusion: Patients admitted to the ICU and initiated on an atypical antipsychotic may develop hyperglycemia independent of other glucose-elevating factors. The direct correlation of these agents to resulting acute hyperglycemia is unknown. Further studies are needed to investigate the link between atypical antipsychotics and acute hyperglycemia and the clinical significance of the impact on patient outcomes.

scholarly journals Acute kidney injury incidence and acute renal replacement modality in intensive care unit patients in Indonesia: A result from Southeast Asia-Acute Kidney Injury Study

2020 ◽  
Author(s):  
Jonny Jonny ◽  
Moch Hasyim ◽  
Vedora Angelia ◽  
Ayu Nursantisuryani Jahya ◽  
Lydia Permata Hilman ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Renal Replacement Therapy ◽  
Southeast Asia ◽  
Replacement Therapy ◽  
Kidney Injury ◽  
Apache Ii Score ◽  
Icu Patients ◽  
Three Stages

Abstract Background : Currently, there is limited data of large databases of acute kidney injury (AKI) epidemiology from Southeast Asia, especially in Indonesia, the biggest countries in. Therefore, we aimed to provide demographic data of intensive care unit (ICU) patients with AKI and the utilization of renal replacement therapy (RRT) in Indonesia. Methods : We collected demographic and clinical data from 952 ICU patients. Patients were classified into AKI and non-AKI. AKI was classified according to the Kidney Disease Improving Global Outcome (KDIGO) criteria in three stages. We then assess the Acute Physiology and Chronic Health Evaluation (APACHE) II score of AKI and non-AKI patients. RRT modalities were listed down by the number of procedures conducted. Results : Overall incidence of AKI was 43%, distributed among three stages: 18.5 % stage 1, 33% stage 2, 48.5 % stage 3. Patients developing AKI need mechanical ventilation more often in comparison with non-AKI. Patients with AKI have an average APACHE score of 16.5, while non-AKI patients have an average score of 9.9. Among AKI patients, 24.6% requires RRT. The most common RRT modalities were intermittent hemodialysis (69.4%), followed by slow low efficiency dialysis (22.1%), continuous renal replacement therapy (4.2%), and peritoneal dialysis (1.1%). Conclusions: This study showed that AKI is a common problem in Indonesian ICU with containing a high mortality rate. We strongly believe that identification the risk factor of AKI will provide the opportunity to develop the predictability score for AKI prevention and finally improve AKI outcome.

Efficacy of Deep Venous Thrombosis Prophylaxis in the Medical Intensive Care Unit

2006 ◽  
Vol 21 (6) ◽  
pp. 352-358 ◽  
Author(s):  
Hassan Khouli ◽  
Janet Shapiro ◽  
Vinh Philip Pham ◽  
Asghar Arfaei ◽  
Olanrewaju Esan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Medical Intensive Care Unit ◽  
Thrombosis Prophylaxis ◽  
Deep Venous Thrombosis Prophylaxis ◽  
Medical Intensive Care
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