Risk Factors of Deep Vein Thrombosis after Soft Tissue Trauma of Lower Extremities

Binbin MA; Ning WANG; Jianping LIU; Kaiquan ZHANG; Yongli GAO; Gaohui LI; Chen ZHANG

doi:10.12259/j.issn.2095-610X.S20230817

Volume 44 Issue 8

Aug. 2023

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Binbin MA, Ning WANG, Jianping LIU, Kaiquan ZHANG, Yongli GAO, Gaohui LI, Chen ZHANG. Risk Factors of Deep Vein Thrombosis after Soft Tissue Trauma of Lower Extremities[J]. Journal of Kunming Medical University, 2023, 44(8): 110-116. doi: 10.12259/j.issn.2095-610X.S20230817

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Risk Factors of Deep Vein Thrombosis after Soft Tissue Trauma of Lower Extremities

doi: 10.12259/j.issn.2095-610X.S20230817

1.
Dept. of Emergency Trauma Center，People’s Hospital of Yuxi City，Yuxi Yunnan 653100
2.
Dept. of Pediatric Surgery，the First Affiliated Hospital of Dali University，Dali Yunnan 671013
3.
Dept. of Scientific Research
4.
Dept. of Neurosurgery，People’s Hospital of Yuxi City，Yuxi Yunnan 653100，China

Received Date: 2023-06-10
Available Online: 2023-09-09
Publish Date: 2023-08-30

Abstract

Abstract

Objective To retrospectively analyze the risk factors of deep vein thrombosis （DVT） in patients with soft tissue trauma of the lower extremities, and to provide reference for the prevention and treatment of DVT. Methods The general clinical data, trauma status, laboratory tests data, imaging data, clinical management information, complications, and other factors of patients with lower limb soft tissue trauma admitted to a single center from January 2020 to December 2021 were collected and statistically analyzed. The risk factors of lower limb soft tissue trauma complicated with DVT were analyzed. Results The incidence of deep vein thrombosis （DVT） in 363 patients with lower limb soft tissue trauma was 8.8%. DVT involved the iliac vein in 1 case, the femoral vein in 1 case, the popliteal vein in 3 cases, the posterior tibial vein in 3 cases, the peroneal vein in 3 cases, and the muscular veins in 31 cases. There were significant differences between the DVT group and the non-DVT group in terms of age, gender, smoking, alcohol consumption, heart disease, type and severity of trauma, hemoglobin, fibrin degradation products （FDP）, D-dimer, waiting time for admission, lack of prophylactic anticoagulation, post-traumatic local infection, and soft tissue defects （P < 0.05）. Multivariate logistic regression analysis showed that age, smoking, post-traumatic local infection, waiting time for admission, lack of prophylactic anticoagulation, severity of trauma, and elevated D-dimer （ > 0.5 μg/mL） were independent risk factors for DVT after lower limb soft tissue trauma （P < 0.05）. Conclusion DVT following soft tissue trauma of the lower limb mainly involves the intermuscular veins. Age, smoking history, local infection after trauma, waiting time for admission, unprotected anticoagulation, severity of trauma, and elevated D-dimer （ > 0.5 μg/mL） is closely related to the occurrence of DVT.
- Lower limb soft tissue trauma,
- Deep vein thrombosis,
- Risk factors

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