Incidence and Diagnostic modality for Deep Vein Thrombosis in Lower Limb Surgeries in Rural India
Journal Title: International Journal of Interdisciplinary and Multidisciplinary Studies (IJIMS) - Year 2016, Vol 3, Issue 4
Abstract
The association between injury and venous thromboembolic events (VTEs) is well recognized. The reported incidence of VTE after trauma varies from 7% to 58% depending upon the demographics of the patients, the nature of the injuries, the method of detection and the type of VTE prophylaxis (if any) used in the study population. We conducted a prospective cohort study to evaluate the frequency of deep vein thrombosis in major lower limb surgeries in rural India along with it’s the risk factors and any associated contributing factors. All the patients operated in tertiary care orthopaedic Indian rural hospital for lower limb between periods of 2 years (May 2007-Oct 2009) were included in the study. All these patients were followed up after surgery till they get discharged from the hospital. On 6th post operative day, all these patients were screened for deep venous thrombosis by non invasive duplex colour doppler. On 7 th post operative day, all patients were screened by invasive contrast venography procedure. We reported an incidence of 5.94% (12 cases in 202) for deep venous thrombosis in Indian rural population after major lower limb surgery. The incidence of proximal deep vein thrombosis was higher as compared to the distal deep vein thrombosis in our study group. Clinical sign and symptoms are less helpful for diagnosis of DVT. We concluded that though the invasive contrast venography is more sensitive and specific than duplex colour doppler for diagnosis of DVT. duplex colour doppler is preferred over contrast venography as not much difference was found in sensitivity and specificity amongst both. colour Doppler being less invasive and cost effective is advised over venography.
Authors and Affiliations
Gajanan Pisulkar, Mahendra Gudhe, Vasant Gawande, Sohael Khan, Sandeep Wagh
Keywords
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