Prevalencia de factores de riesgo para trombosis venosa profunda en pacientes mayores de 60 años en el Hospital Vicente Corral Moscoso en el 2010

Abstract

Background: DVT is the presence of clots in the veins especially in the legs due to different factors, this condition is relatively common but rarely used prophylactic measures to prevent it, and its diagnosis is uncommon. Objective: To determine clinical, epidemiological and prophylaxis of all patients older than 60 years hospitalized in HVCM in 2010 at risk for DVT. Methodology: This is a descriptive study, in which the universe was of 1625 patients over 60 years, there was a collection of database totaling 595, Vicente Corral Moscoso Hospital, then was ordering information according to the risk factors for DVT according to clinical parameters, the inclusion criteria were all patients aged hospitalized 60años of both sexes in the areas of clinical, surgical, emergency and proceeded to their analysis and interpretation. We used SPSS 19 for the data analysis. Results: We analyzed a sample of 595 patients, using the Wells clinical model of got that 24.2% of the population had a high risk of DVT and 75.8% moderate risk. Risk factors in study had the following prevalence: 2.5% collateral venous circulation; cancer 10.3%, lower limb immobilization a 11.3% 95.1% bedridden, major surgery 46.6%; pain venous pathway 2.9% increase in the circumference of the limb edema 4.9% and 5.7%. Prophylactic measures were applied as follows, using taping at 0.8% of the population, use of heparin sodium in 3.4% and 17.6% in the LMWH. Conclusions: The risk of DVT in the population is measured 75.8% and 24.2% high, the use of prophylactic measures in most cases is still the most deficient LMWH using 17.6%, thus no factor High prevalence risk posed