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Incidence of Deep Vein Thrombosis after Spinal Cord Injury in Korean Patients at Acute Rehabilitation Unit

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Author(s)
Jong Geol DoDu Hwan KimDuk Hyun Sung
Keimyung Author(s)
Kim, Du Hwan
Department
Dept. of Rehabilitation Medicine (재활의학)
Journal Title
Journal of Korean Medical Science
Issued Date
2013
Volume
28
Issue
9
Keyword
Deep Vein ThrombosisIncidenceSpinal Cord InjuriesRehabilitation Unit
Abstract
Deep vein thrombosis (DVT) and subsequent pulmonary embolism (PE) remain significant
causes of morbidity, mortality in patients with spinal cord injury (SCI). Since incidence of
DVT after SCI in Korean population has not been much studied, we retrospectively analyzed
the medical records of 185 SCI patients admitted for acute rehabilitation unit to investigate
the incidence of DVT. Color Doppler ultrasonography was performed to screen for the
occurrence of DVT at the time of initial presentation to acute rehabilitation unit. Primary
study outcome was the incidence of DVT. Possible risk factors for DVT including the
epidemiologic characteristics, completeness of motor paralysis, cause of injury, spasticity,
surgery, and active cancer were analyzed. The incidence of DVT after SCI was 27.6%. In
multiple logistic regression analysis, absence of spasticity was a significant independent risk
factor (P < 0.05) for occurrence of DVT. Symptomatic pulmonary embolism was evident in
7 patients without an episode of sudden death. Therefore, it is concluded that the
incidence of DVT after SCI in Korean patients is comparable with that in Western
populations. This result suggests that pharmacologic thromboprophylaxis should be
considered in Korean patients with SCI.
Keimyung Author(s)(Kor)
김두환
Publisher
School of Medicine
Citation
Jong Geol Do et al. (2013). Incidence of Deep Vein Thrombosis after Spinal Cord Injury in Korean Patients at Acute Rehabilitation Unit. Journal of Korean Medical Science, 28(9), 1382–1387. doi: 10.3346/jkms.2013.28.9.1382
Type
Article
ISSN
1011-8934
DOI
10.3346/jkms.2013.28.9.1382
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33805
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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