Research Article
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Year 2022, , 120 - 127, 30.03.2022
https://doi.org/10.33808/clinexphealthsci.839430

Abstract

References

  • Watson T, Shantsila E, Lip GY. Mechanisms of thrombogenesis in atrial fibrillation: Virchow's triad revisited. Lancet 2009; 373(9658):155-66.
  • Di Nisio M, van Es N, Büller HR. Deep vein thrombosis and pulmonary embolism. Lancet 2016; 388(10063):3060-73.
  • Kim JY, Khavanin N, Rambachan A, McCarthy RJ, Mlodinow AS, De Oliveria GS, et al. Surgical duration and risk of venous thromboembolism. JAMA Surg 2015; 150(2):110-7.
  • Park JH, Lee KE, Yu YM, Park YH, Choi SA. Incidence and risk factors for venous thromboembolism after spine surgery in Korean patients. World Neurosurg 2019; 128:289-307.
  • Acun G. The risk and prevalence of deep vein thrombosis on patients who are hospitalized in surgical clinics. Dokuz Eylül Unıversity. Health Science Institute, Thesis of master. 2012 (In Turkish).
  • Dirimeşe E, Yavuz M. Prevention of venous thromboembolism in surgery clinicals. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi 2010; 2(3):98-105 (In Turkish).
  • Büyükyilmaz F, Şendir M. An ignored problem in post-surgery care: deep veın thrombosıs rısk assessment and nursıng care. Journal of Health Sciences 2014; 23(1):48-54 (In Turkish).
  • Autar R. The management of deep vein thrombosis: the Autar DVT risk assessment scale re-visited. Journal of Orthopaedic Nursing 2003; 7(3):114-24.
  • Caprini JA. Risk assessment as a guide for the prevention of the many faces of venous thromboembolism. AJS 2010; 199(1):3-10.
  • Koç B, Karatepe O, Geldigitti T, Tutal F, Karahan SR. Venous tromboembolism prophylaxis practices at surgery clinics. Medical Journal of Bakırköy 2013; 9:8-11(In Turkish).
  • Akyüz E, Tunçbilek Z. Antiembolik çorap yönetiminde hemşirelerin rol ve sorumlulukları: antiembolik çorap bakım protokolü. Turk J Cardiovasc Nurs 2018; 9(20):96-104 (In Turkish).
  • Gürsoy A, Çilingir D. Silent danger for surgical patients: deep vein thrombosis risk-reducing nursing care. Acibadem University Health Sciences Journal 2018; 9(3):213-9. (In Turkish).
  • Safe Surgery Checklist TR. (2011) Available from https://kalite.saglik.gov.tr/Eklenti/4333/0/guvenlicerrahikontrollistesiuygulamarehberipdf.pdfAccess date: 01 December 2020
  • Venous thromboembolism overview-NICE (2020). Available from https://pathways.nice.org.uk/pathways/venous-thromboembolism Access date: 27 November 2020
  • Oh H, Boo S, Lee JA. Clinical nurses’ knowledge and practice of venous thromboembolism risk assessment and prevention in South Korea: a cross‐sectional survey. J Clin Nurs 2017; 26(3-4):427-35.
  • Karadoğan K, Durna Z, Akın S. Evaluation of nurses’ knowledge levels about risk factors for venous thromboembolism and preventive interventions. JAREN 2020;6(1):36-43. (In Turkish).
  • National Venous Thromboembolism Prophylaxis and Treatment Guidelines (2010). Available from https://www.toraks.org.tr/uploadfiles/Ulusal_Venoz_Tromboembolizm_Profilaksi_ve_Tedavi_Kilavuzu20 10.pdf Access date: 15 November 2020
  • Liu X, Liu C, Chen X, Wu W, Lu G. Comparison between Caprini and Padua risk assessment models for hospitalized medical patients at risk for venous thromboembolism: a retrospective study. Interact Cardiovasc Thorac Surg 2016; 23(4):538-43.
  • Chen X, Pan L, Deng H, Zhang J, Tong X, Huang H, et al. Risk assessment in Chinese hospitalized patients comparing the Padua and Caprini scoring algorithms. Clin Appl Thromb-Hemost 2018; 24(9):127-35.
  • Zhou H, Hu Y, Li X, Wang L, Wang M, Xiao J, et al. Assessment of the risk of venous thromboembolism in medical inpatients using the padua prediction score and caprini risk assessment model. J Atheroscler Thromb 2018; 25(11):1091-1104.
  • De Martino RR, Beck AW, Edwards MS, Corriere MA, Wallaert JB, Stone DH, et al. Impact of screening versus symptomatic measurement of deep vein thrombosis in a national quality improvement registry. J Vasc Surg 2012; 56(4):1045-51.
  • Esin M.N. Samples. In Erdoğan S., Nahcivan N., Esin M.N., editors. Nursing research: Process, implementation, and critics. İstanbul: Nobel publication; 2015.p.178-179 (In Turkish).
  • Ageno W, Becattini C, Brighton T, Selby R, Kamphuisen PW. Cardiovascular risk factors and venous thromboembolism. Circulation 2008; 117(1):93-102.
  • Autar R. Nursing assessment of clients at risk of deep vein thrombosis (DVT): the Autar DVT scale. J Adv Nurs 1996; 23(4):763-70.
  • Büyükyılmaz F, Şendir M, Autar R, Yazgan İ. Risk level analysis for deep vein thrombosis (DVT): A study of Turkish patients undergoing major orthopedic surgery. Journal of Vascular Nursing 2015; 33(3):100-5.
  • Caprini JA. Thrombosis risk assessment as a guide to quality patient care. DM-Dis-a-Mon 2005; 51(2-3):70-8.
  • Barbar S, Noventa F, Rossetto V, Ferrari A, Brandolin B, Perlati M, et al. A risk assessment model for the identification of hospitalized medical patients at risk for venous thromboembolism: the padua prediction score. J Thromb Haemost 2010; 8(11):2450-7.
  • Goldhaber SZ, Bounameaux H. Pulmonary embolism and deep vein thrombosis. Lancet 2012; 379(9828):1835-46.
  • Gür Ö, Gürkan S, Çakır H, Gür DÖ, Donbaloğlu O, Ege T. Evaluation of treatment activity in patients with deep venous thrombosis. Cukurova Medical Journal 2012;37(4):198-202 (In Turkish).
  • Engbers M, van Hylckama Vlieg A, Rosendaal F. Venous thrombosis in the elderly: incidence, risk factors and risk groups. J Thromb Haemost 2010; 8(10):2105-12.
  • Wang L, Pryor AD, Altieri MS, Romeiser JL, Talamini MA, Shroyer L, et al. Perioperative rates of deep vein thrombosis and pulmonary embolism in normal weight vs obese and morbidly obese surgical patients in the era post venous thromboembolism prophylaxis guidelines. Am J Surg 2015; 210(5):859-63.
  • Özkaya Ö, Öztürk MB, Egemen O, Öreroğlu AR, Üsçetin İ, Tasasız K, et al. The approach of turkish plastic surgeons to the venous thromboembolism prophylaxis and preferred methods in prophylaxis: a survey study. Turk J Plast Surg 2013; 21(2):10-5 (In Turkish).
  • Özbaş N, Karadağ M. Determination of knowledge requirements and practices to prevent venous thromboembolism risk in patients undergoing orthopedic surgery. J DU Health Sci Inst 2020;10(2):228-34 (In Turkish).
  • Bahl V, Hu HM, Henke PK, Wakefield TW, Campbell Jr DA, Caprini JA. A validation study of a retrospective venous thromboembolism risk scoring method. Ann Surg 2010; 251(2):344-50.
  • Kim NE, Conway-Pearson L, Kavanah M, Mendez J, Sachs TF, Drake FT, et al. Standardized risk assessment and risk-stratified venous thromboembolism prophylaxis for patients undergoing breast operation. J Am Coll Surg 2020; 230(6):947-55.
  • Olufemi-Aworinde K, Aworinde O, Olutogun T, Ogunlaja A, Joel-Medewase V, Akinola N. Predictive value of venous thromboembolism risk assessment scoring tools among surgical patients. Eur J Biomedical Pharm Sci 2018; 5(4):88-91.
  • Yormaz S, Yılmaz H, Alptekin H, Acar F, Ece İ, Çolak B, et al. Evaluation of the risk of pulmonary thromboembolism using a padua score in laparoscopic sleeve gastrectomy: a retrospective study. ACU Sağlık Bil Derg 2019; 10(1):73-7 (In Turkish).
  • Elias P, Khanna R, Dudley A, Davies J, Jacolbia R, McArthur K, et al. Automating venous thromboembolism risk calculation using electronic health record data upon hospital admission: the automated padua prediction score. J Hosp Med 2017; 12(4):231-37.
  • Miller JA. Use and wear of anti‐embolism stockings: a clinical audit of surgical patients. Int Wound J 2011; 8(1):74-83.
  • Serpici A, Gürsoy A. Nurse-led patient training improves deep vein thrombosis knowledge and self-care practices. Journal of Vascular Nursing 2018;36(2):53-63.
  • Dirimese E, Yavuz M, Nurulke B. Investigate of Eligibility Usage of Graduated Compression Stockings. International Journal of Caring Sciences 2012;5(3):354-61.
  • Ferreira D, de Sousa JA, Felicíssimo P, França A. Venous thromboembolism risk and prophylaxis in the Portuguese hospital care setting: The ARTE study. Revista Portuguesa de Cardiologia (English Edition). 2017; 36(11):823-30.
  • Çebi N, Tanriverdi S. Aetiology of deep vein thrombosis in 63 Turkish patients. Turk J Med Sci 2009;39(2):223-7.

The Risk Factors for Preoperative and Postoperative Deep Vein Thrombosis in Surgical Patients

Year 2022, , 120 - 127, 30.03.2022
https://doi.org/10.33808/clinexphealthsci.839430

Abstract

Objective: This paper investigated the risk of preoperative and postoperative deep vein thrombosis (DVT) in surgical patients.
Methods: The sample consisted of 377 patients of the general surgery, orthopedics and traumatology, neurosurgery, and cardiovascular surgery
clinics of a university hospital. Data were collected using a demographic characteristics questionnaire, the Deep Vein Thrombosis Diagnostic
Criteria Form, the Autar Deep Vein Thrombosis Risk Assessment Scale, the Caprini Risk Assessment Model, and the Padua Prediction Score. The
data were analyzed using descriptive analysis.
Results: According to the Autar Deep Vein Thrombosis Risk Assessment Scale, most participants were in the “low risk” category in the
preoperative period (91%), and more than a quarter of the participants were in the “high risk” category in the postoperative period (30%).
According to the Caprini Risk Assessment Model, less than half of the participants were in the “moderate risk” group in the preoperative
period (39%), and more than half the participants were in the “high risk” group in the postoperative period (70.6%). According to the Padua
Prediction Score, most participants were in the “low risk” category in the preoperative period (82.2%), and more than half the participants were
in the “high risk” group in the postoperative period (52.8%). More than half the participants who used graduated compression stocks in the
preoperative period misused them (62.7%). A bit more than half the participants who used graduated compression stocks in the postoperative
period used them correctly.
Conclusion: The results show that surgical patients are at a higher risk for deep vein thrombosis in the postoperative period than in the
preoperative period.

Thanks

The author thanks to patients who participated to this study. The summary of this study has been published in the 9th European Operating Room Nurses Association Congress Abstract Book (p.103)

References

  • Watson T, Shantsila E, Lip GY. Mechanisms of thrombogenesis in atrial fibrillation: Virchow's triad revisited. Lancet 2009; 373(9658):155-66.
  • Di Nisio M, van Es N, Büller HR. Deep vein thrombosis and pulmonary embolism. Lancet 2016; 388(10063):3060-73.
  • Kim JY, Khavanin N, Rambachan A, McCarthy RJ, Mlodinow AS, De Oliveria GS, et al. Surgical duration and risk of venous thromboembolism. JAMA Surg 2015; 150(2):110-7.
  • Park JH, Lee KE, Yu YM, Park YH, Choi SA. Incidence and risk factors for venous thromboembolism after spine surgery in Korean patients. World Neurosurg 2019; 128:289-307.
  • Acun G. The risk and prevalence of deep vein thrombosis on patients who are hospitalized in surgical clinics. Dokuz Eylül Unıversity. Health Science Institute, Thesis of master. 2012 (In Turkish).
  • Dirimeşe E, Yavuz M. Prevention of venous thromboembolism in surgery clinicals. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi 2010; 2(3):98-105 (In Turkish).
  • Büyükyilmaz F, Şendir M. An ignored problem in post-surgery care: deep veın thrombosıs rısk assessment and nursıng care. Journal of Health Sciences 2014; 23(1):48-54 (In Turkish).
  • Autar R. The management of deep vein thrombosis: the Autar DVT risk assessment scale re-visited. Journal of Orthopaedic Nursing 2003; 7(3):114-24.
  • Caprini JA. Risk assessment as a guide for the prevention of the many faces of venous thromboembolism. AJS 2010; 199(1):3-10.
  • Koç B, Karatepe O, Geldigitti T, Tutal F, Karahan SR. Venous tromboembolism prophylaxis practices at surgery clinics. Medical Journal of Bakırköy 2013; 9:8-11(In Turkish).
  • Akyüz E, Tunçbilek Z. Antiembolik çorap yönetiminde hemşirelerin rol ve sorumlulukları: antiembolik çorap bakım protokolü. Turk J Cardiovasc Nurs 2018; 9(20):96-104 (In Turkish).
  • Gürsoy A, Çilingir D. Silent danger for surgical patients: deep vein thrombosis risk-reducing nursing care. Acibadem University Health Sciences Journal 2018; 9(3):213-9. (In Turkish).
  • Safe Surgery Checklist TR. (2011) Available from https://kalite.saglik.gov.tr/Eklenti/4333/0/guvenlicerrahikontrollistesiuygulamarehberipdf.pdfAccess date: 01 December 2020
  • Venous thromboembolism overview-NICE (2020). Available from https://pathways.nice.org.uk/pathways/venous-thromboembolism Access date: 27 November 2020
  • Oh H, Boo S, Lee JA. Clinical nurses’ knowledge and practice of venous thromboembolism risk assessment and prevention in South Korea: a cross‐sectional survey. J Clin Nurs 2017; 26(3-4):427-35.
  • Karadoğan K, Durna Z, Akın S. Evaluation of nurses’ knowledge levels about risk factors for venous thromboembolism and preventive interventions. JAREN 2020;6(1):36-43. (In Turkish).
  • National Venous Thromboembolism Prophylaxis and Treatment Guidelines (2010). Available from https://www.toraks.org.tr/uploadfiles/Ulusal_Venoz_Tromboembolizm_Profilaksi_ve_Tedavi_Kilavuzu20 10.pdf Access date: 15 November 2020
  • Liu X, Liu C, Chen X, Wu W, Lu G. Comparison between Caprini and Padua risk assessment models for hospitalized medical patients at risk for venous thromboembolism: a retrospective study. Interact Cardiovasc Thorac Surg 2016; 23(4):538-43.
  • Chen X, Pan L, Deng H, Zhang J, Tong X, Huang H, et al. Risk assessment in Chinese hospitalized patients comparing the Padua and Caprini scoring algorithms. Clin Appl Thromb-Hemost 2018; 24(9):127-35.
  • Zhou H, Hu Y, Li X, Wang L, Wang M, Xiao J, et al. Assessment of the risk of venous thromboembolism in medical inpatients using the padua prediction score and caprini risk assessment model. J Atheroscler Thromb 2018; 25(11):1091-1104.
  • De Martino RR, Beck AW, Edwards MS, Corriere MA, Wallaert JB, Stone DH, et al. Impact of screening versus symptomatic measurement of deep vein thrombosis in a national quality improvement registry. J Vasc Surg 2012; 56(4):1045-51.
  • Esin M.N. Samples. In Erdoğan S., Nahcivan N., Esin M.N., editors. Nursing research: Process, implementation, and critics. İstanbul: Nobel publication; 2015.p.178-179 (In Turkish).
  • Ageno W, Becattini C, Brighton T, Selby R, Kamphuisen PW. Cardiovascular risk factors and venous thromboembolism. Circulation 2008; 117(1):93-102.
  • Autar R. Nursing assessment of clients at risk of deep vein thrombosis (DVT): the Autar DVT scale. J Adv Nurs 1996; 23(4):763-70.
  • Büyükyılmaz F, Şendir M, Autar R, Yazgan İ. Risk level analysis for deep vein thrombosis (DVT): A study of Turkish patients undergoing major orthopedic surgery. Journal of Vascular Nursing 2015; 33(3):100-5.
  • Caprini JA. Thrombosis risk assessment as a guide to quality patient care. DM-Dis-a-Mon 2005; 51(2-3):70-8.
  • Barbar S, Noventa F, Rossetto V, Ferrari A, Brandolin B, Perlati M, et al. A risk assessment model for the identification of hospitalized medical patients at risk for venous thromboembolism: the padua prediction score. J Thromb Haemost 2010; 8(11):2450-7.
  • Goldhaber SZ, Bounameaux H. Pulmonary embolism and deep vein thrombosis. Lancet 2012; 379(9828):1835-46.
  • Gür Ö, Gürkan S, Çakır H, Gür DÖ, Donbaloğlu O, Ege T. Evaluation of treatment activity in patients with deep venous thrombosis. Cukurova Medical Journal 2012;37(4):198-202 (In Turkish).
  • Engbers M, van Hylckama Vlieg A, Rosendaal F. Venous thrombosis in the elderly: incidence, risk factors and risk groups. J Thromb Haemost 2010; 8(10):2105-12.
  • Wang L, Pryor AD, Altieri MS, Romeiser JL, Talamini MA, Shroyer L, et al. Perioperative rates of deep vein thrombosis and pulmonary embolism in normal weight vs obese and morbidly obese surgical patients in the era post venous thromboembolism prophylaxis guidelines. Am J Surg 2015; 210(5):859-63.
  • Özkaya Ö, Öztürk MB, Egemen O, Öreroğlu AR, Üsçetin İ, Tasasız K, et al. The approach of turkish plastic surgeons to the venous thromboembolism prophylaxis and preferred methods in prophylaxis: a survey study. Turk J Plast Surg 2013; 21(2):10-5 (In Turkish).
  • Özbaş N, Karadağ M. Determination of knowledge requirements and practices to prevent venous thromboembolism risk in patients undergoing orthopedic surgery. J DU Health Sci Inst 2020;10(2):228-34 (In Turkish).
  • Bahl V, Hu HM, Henke PK, Wakefield TW, Campbell Jr DA, Caprini JA. A validation study of a retrospective venous thromboembolism risk scoring method. Ann Surg 2010; 251(2):344-50.
  • Kim NE, Conway-Pearson L, Kavanah M, Mendez J, Sachs TF, Drake FT, et al. Standardized risk assessment and risk-stratified venous thromboembolism prophylaxis for patients undergoing breast operation. J Am Coll Surg 2020; 230(6):947-55.
  • Olufemi-Aworinde K, Aworinde O, Olutogun T, Ogunlaja A, Joel-Medewase V, Akinola N. Predictive value of venous thromboembolism risk assessment scoring tools among surgical patients. Eur J Biomedical Pharm Sci 2018; 5(4):88-91.
  • Yormaz S, Yılmaz H, Alptekin H, Acar F, Ece İ, Çolak B, et al. Evaluation of the risk of pulmonary thromboembolism using a padua score in laparoscopic sleeve gastrectomy: a retrospective study. ACU Sağlık Bil Derg 2019; 10(1):73-7 (In Turkish).
  • Elias P, Khanna R, Dudley A, Davies J, Jacolbia R, McArthur K, et al. Automating venous thromboembolism risk calculation using electronic health record data upon hospital admission: the automated padua prediction score. J Hosp Med 2017; 12(4):231-37.
  • Miller JA. Use and wear of anti‐embolism stockings: a clinical audit of surgical patients. Int Wound J 2011; 8(1):74-83.
  • Serpici A, Gürsoy A. Nurse-led patient training improves deep vein thrombosis knowledge and self-care practices. Journal of Vascular Nursing 2018;36(2):53-63.
  • Dirimese E, Yavuz M, Nurulke B. Investigate of Eligibility Usage of Graduated Compression Stockings. International Journal of Caring Sciences 2012;5(3):354-61.
  • Ferreira D, de Sousa JA, Felicíssimo P, França A. Venous thromboembolism risk and prophylaxis in the Portuguese hospital care setting: The ARTE study. Revista Portuguesa de Cardiologia (English Edition). 2017; 36(11):823-30.
  • Çebi N, Tanriverdi S. Aetiology of deep vein thrombosis in 63 Turkish patients. Turk J Med Sci 2009;39(2):223-7.
There are 43 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Burçin Irmak 0000-0003-2168-1872

Mevlüde Karadağ 0000-0003-3258-6459

Nihal Yıldız Emre 0000-0003-0038-6081

Publication Date March 30, 2022
Submission Date December 11, 2020
Published in Issue Year 2022

Cite

APA Irmak, B., Karadağ, M., & Yıldız Emre, N. (2022). The Risk Factors for Preoperative and Postoperative Deep Vein Thrombosis in Surgical Patients. Clinical and Experimental Health Sciences, 12(1), 120-127. https://doi.org/10.33808/clinexphealthsci.839430
AMA Irmak B, Karadağ M, Yıldız Emre N. The Risk Factors for Preoperative and Postoperative Deep Vein Thrombosis in Surgical Patients. Clinical and Experimental Health Sciences. March 2022;12(1):120-127. doi:10.33808/clinexphealthsci.839430
Chicago Irmak, Burçin, Mevlüde Karadağ, and Nihal Yıldız Emre. “The Risk Factors for Preoperative and Postoperative Deep Vein Thrombosis in Surgical Patients”. Clinical and Experimental Health Sciences 12, no. 1 (March 2022): 120-27. https://doi.org/10.33808/clinexphealthsci.839430.
EndNote Irmak B, Karadağ M, Yıldız Emre N (March 1, 2022) The Risk Factors for Preoperative and Postoperative Deep Vein Thrombosis in Surgical Patients. Clinical and Experimental Health Sciences 12 1 120–127.
IEEE B. Irmak, M. Karadağ, and N. Yıldız Emre, “The Risk Factors for Preoperative and Postoperative Deep Vein Thrombosis in Surgical Patients”, Clinical and Experimental Health Sciences, vol. 12, no. 1, pp. 120–127, 2022, doi: 10.33808/clinexphealthsci.839430.
ISNAD Irmak, Burçin et al. “The Risk Factors for Preoperative and Postoperative Deep Vein Thrombosis in Surgical Patients”. Clinical and Experimental Health Sciences 12/1 (March 2022), 120-127. https://doi.org/10.33808/clinexphealthsci.839430.
JAMA Irmak B, Karadağ M, Yıldız Emre N. The Risk Factors for Preoperative and Postoperative Deep Vein Thrombosis in Surgical Patients. Clinical and Experimental Health Sciences. 2022;12:120–127.
MLA Irmak, Burçin et al. “The Risk Factors for Preoperative and Postoperative Deep Vein Thrombosis in Surgical Patients”. Clinical and Experimental Health Sciences, vol. 12, no. 1, 2022, pp. 120-7, doi:10.33808/clinexphealthsci.839430.
Vancouver Irmak B, Karadağ M, Yıldız Emre N. The Risk Factors for Preoperative and Postoperative Deep Vein Thrombosis in Surgical Patients. Clinical and Experimental Health Sciences. 2022;12(1):120-7.

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