Postpartum dönemde venöz tromboemboli risk faktörlerinin değerlendirilmesi

Yıl 2023, , 92 - 96, 28.12.2023

Zeynep Elif Şahin Güldiken , Neval Çayönü Kahraman

https://doi.org/10.46969/EZH.1401432

Öz

Amaç: Bu çalışma hastanemizde doğum yapmış gebelerin postpartum dönemde venöz tromboemboli (VTE) risk faktörlerinin değerlendirilmesi için planlanmıştır.
Materyal ve method: Çalışma retrospektif olarak postpartum dönemdeki 92 hastanın VTE risk faktörleri; önceden varolan risk faktörleri ve gebeliğe özgü risk faktörleri adı altında değerlendirildi. Hasta dağılımı bu risk faktörlerine göre sayısı ve yüzde oranı ile hesaplandı. VTE risk faktör skorlaması ACOG’a göre düzenlenmiş ‘Venöz tromboemboli risk değerlendirme formu’ na uygun olarak değerlendirilmiştir.
Bulgular: Önceden varolan risk faktörleri içinde varolan VTE öyküsü, düşük riskli trombofili ve yüksek riskli trombofili varlığı ile ilgili hastamız yoktu. Obezitede BMI ≥ 30 olan 48 hasta ( % 41,3) mevcuttu. Gebeliğe özgü risk faktörleri içinde uzamış doğum eylemi ve ölü doğum yapan hastamız yoktu. Bu grup içinde en fazla hasta sayısı paritesi ≥ 3 olan 31 (%33,6) hastamız mevcuttu. VTE skoru 3 puan olan 36 (%39,1) hasta saptandı. VTE skoru 0 ve 1 puan olan grup lar, sırasıyla 9 (%9,7) ve 9 (%9,7), en az hasta sayısına sahipti.
Sonuç: Çalışmada postpartum dönemde VTE bağlı komplikasyon gelişmemiştir. Bu durum doğum sonrası hastalarda VTE risk faktörlerinin değerlendirilmesinin ve yönetiminin önemini bir kez daha vurgulamaktadır. VTE bağlı komplikasyonları değerlendirmek için daha çok sayıda hasta grubu olan ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

Venöz tromboemboli, VTE risk faktörleri, VTE skoru, postpartum dönem

Proje Numarası

11/05

Evaluation of venous thromboembolism risk factors in the postpartum period

Öz

Purpose: This study was planned to evaluate the risk factors of venous thromboembolism (VTE) in the postpartum period of pregnant womwn who delivered in our hospital.
Material and method: This study retropectively examined the VTE risk factors of 92 patients in the postpartum period; they were evaluated under the names of pre-existing risk factors and pregnancy –specific risk factors. Patient distribution was calculated by number and percentage rate according to these risk factors. VTE risk factor scoring was evaluated in accordance with the ‘Venous thromboembolism risk assessment form’ prepared according to ACOG.
Results: We did not have any patient with pre-existing risk factors such as a history of VTE, presence of low – risk thrombophilia or presence of high-risk thrombophilia.There were 48 patients ( 41.3%) with BMI ≥ 30. We did not have any patients with prolonged labor or stillbirth, which are pegnancy- specific risk factors. In this group, we had 31 (33.6% ) patients with the highest number of patients with parity >3.. VTE score of 3 points was detected in 36 (39.1%) patients. The group with VTE scores of 0 and 1 point had the least number of patients; 9 (9.7%) and 9 (9.7%), respectively.
Conclusion: In the study, no VTE-related complications developed in the postpartum period. This situation once again emphasizes the importance of evaluation and management of VTE risk factors in postpartum patients. Further studies with larger patient groups are needed to evaluate VTE –related complications.

Anahtar Kelimeler

Venous thromboembolism, VTE risk factors, VTE score, postpartum period

Proje Numarası

11/05

Kaynakça

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