Deep Vein Thrombosis at Lower Extremities in Severe Burn Patients
Journal of the Korean Society for Vascular Surgery
;
: 106-110, 2004.
Article
in Korean
| WPRIM
| ID: wpr-104352
ABSTRACT
PURPOSE:
In major burns, deep vein thrombosis (DVT) is frequently diagnosed as a major complication of burns. But the risk factors and prophylaxis remain controversial. This study was designed to evaluate the incidence and risk factors of DVT in major burn patients.METHOD:
We reviewed all major burn patients (>40% of TBSA) admitted to our burn center from June 1998 to August 2003 and assessed each affected patients with an in-hospital diagnosis of DVT for DVT risk factors.RESULT:
There were 9 symptomatic DVT detected among 606 severe burn patients (1.45% incidence). Patients diagnosed with DVT had no risk factors of morbid obesity, previous DVT, congestive heart failure or neoplastic disease, except one patient who had a polycythemia vera diagnosed incidentally. In eight of 9 patients, DVT occurred in veins draining burned extremities. All patients had burn wound infections as a complication of burns. Eight of 9 patients had longer hospital stays than patients without DVTs. In all patients, DVT was developed after operations for skin graft.CONCLUSION:
DVT should be suspected in patients with delayed wound healing and unresolved edema of extrimites. Wound infection, long bed-ridden state and operations are significant risk factors for DVT formation in major burn patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polycythemia Vera
/
Skin
/
Veins
/
Wound Healing
/
Wound Infection
/
Obesity, Morbid
/
Burn Units
/
Burns
/
Incidence
/
Risk Factors
Type of study:
Diagnostic study
/
Etiology study
/
Incidence study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society for Vascular Surgery
Year:
2004
Type:
Article
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