Advertisement

Deep Venous Thrombosis in a General Hospital

      Purpose

      To determine the prevalence of proximal deep venous thrombosis (DVT) in a general hospital.

      Background

      In spite of the importance of proximal DVT, its prevalence in hospitalized patients has been only sparsely studied.

      Methods

      Patients hospitalized with DVT between July 1998 and June 2000 were identified by a computer search of discharge diagnoses. The discharge diagnosis was confirmed by a review of the records for positive findings on compression ultrasound or venogram of the lower extremities. In addition, records of all compression ultrasound examinations and venograms during that period were examined.

      Results

      The prevalence of proximal DVT in adults ≥ 20 years old was 271 of 34,567 patients (0.78%). DVT was associated with pulmonary embolism in 57 of 271 patients (21.0%). The prevalence of DVT in adult men was 117 of 13,722 patients (0.85%), and in adult women was 154 of 20,845 patients (0.74%) [not significant]. The prevalence of DVT among men aged 20 to 49 years was higher than in women the same age: 19 of 3,982 patients (0.48%) vs 22 of 9,442 patients (0.23%), respectively (p < 0.02). The prevalence of DVT, however, was comparable among men and women ≥ 50 years old. The prevalence of DVT was also comparable in black adults (30 of 4,344 patients; 0.69%) and in white adults (240 of 28,615 patients; 0.84%) [not significant].

      Conclusion

      Proximal DVT continues to be a frequent illness among hospitalized patients.

      Key words

      Abbreviations:

      CI (confidence interval), DVT (deep venous thrombosis), ICD-9-CM (International Classification of Disease, Ninth Revision, Clinical Modification), PE (pulmonary embolism)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic and Personal
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to CHEST
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Schuurman B
        • den Heijer M
        • Nijs AM
        Thrombosis prophylaxis in hospitalized medical patients: does prophylaxis in all patients make sense?.
        Neth J Med. 2000; 56: 171-176
        • Klatsky AL
        • Armstrong MA
        • Poggi J
        Risk of pulmonary embolism and/or deep venous thrombosis in Asian-Americans.
        Am J Cardiol. 2000; 85: 1334-1337
        • Igbinovia A
        • Malik GM
        • Grillo IA
        • et al.
        Deep venous thrombosis in Assir region of Saudi Arabia: case-control study.
        Angiology. 1995; 46: 1107-1113
        • Liam CK
        • Ng SC
        A review of patients with deep venous thrombosis diagnosed at university hospital, Kuala Lumpur.
        Ann Acad Med. 1990; 19: 837-840
        • Kueh YK
        • Wang TL
        • Teo CP
        • et al.
        Acute deep vein thrombosis in hospital practice.
        Ann Acad Med. 1992; 21: 345-348
        • White RH
        • Zhou H
        • Romano PS
        Incidence of idiopathic deep venous thrombosis and secondary thromboembolism among ethnic groups in California.
        Ann Intern Med. 1998; 128: 737-740
        • Tinckler LF
        Absence of pulmonary embolism in Asians [letter]?.
        BMJ. 1964; 1: 502
        • Hwang WS
        The rarity of pulmonary thromboembolism in Asians.
        Singapore Med J. 1968; 9: 276-279
      1. AHA guide to the health care field, 2000–2001 edition. Health Forum, American Hospital Association, Chicago, IL2000: A211-A221
        • Jones MK
        Brouch KL Allen MM St. Anthony's ICD-9-CM code book. St. Anthony Publishers, Alexandria, VA1991
        • Stein PD
        • Patel KC
        • Kalra NJ
        • et al.
        Estimated incidence of acute pulmonary embolism in a community/teaching general hospital.
        Chest. 2002; 121: 802-805
        • Proctor MC
        • Greenfield LJ
        Pulmonary embolism: diagnosis, incidence and implications.
        Cardiovasc Surg. 1997; 5: 77-81
        • Lensing AWA
        • Prandoni P
        • Prins MH
        • et al.
        Deep-vein thrombosis.
        Lancet. 1999; 353: 479-485
        • Quinn DA
        • Thompson BT
        • Terrin ML
        • et al.
        A prospective investigation of pulmonary embolism in women and men.
        JAMA. 1992; 268: 1689-1696