Evaluation of Vitamin B12 And Vitamin D Levels in Patients With Deep Vein Thrombosis

Öz

Background: Deep vein thrombosis (DVT) is an important cause of mortality and morbidity that occurs due to many causes. Autoimmune diseases, malignancies, previous major surgical interventions, immobility and hyperhomocysteinemia, metabolic diseases predispose to DVT. There are studies suggesting that vitamin B12 and vitamin D deficiency, which affect homocysteine metabolism, may be associated with the development of DVT. In our study, we aimed to compare vitamin B12 and vitamin D levels in patients with DVT compared to the control group. Materials and Methods: Between December 2015 and December 2020, 97 patients with DVT and 91 individuals without DVT were included in our routine. Serum vitamin B12 and vitamin D levels, clinical and other examination results of the patient and control groups were evaluated retrospectively from the hospital information system. Results: There was no difference in demographic characteristics between the patient and control group included in the study. Serum vitamin D (19.64±8.68 vs 23.63±7.99, p<0.001) and vitamin B12 levels (252.94±101.17 vs 338.51±102.76, p<0.001) were found to be significantly lower in the group with DVT compared to the control group. In multivariate analysis, vitamin B12 level was found to be an independent predictor for DVT. (OR=0.991, 95% CI; 0.987-0.995, p<0.001). Conclusions: Vitamin B12 and vitamin D levels are parameters that can be easily measured in the blood. In our study, both vitamin levels were found to be low in patients with DVT. It can be used as a possible simple indicator of the development of DVT, especially in patients with risk factors for DVT.

Anahtar Kelimeler

• Vitamin B12
• Homocysteine
• Vitamin D
• Venous thrombosis.

Derin Ven Trombozu Olan Hastalarda Vitamin B12 ve Vitamin D Düzeylerinin Değerlendirilmesi

Öz

Amaç: Derin ven trombozu (DVT) birçok nedene bağlı olarak ortaya çıkan önemli bir mortalite ve morbidite sebebidir. Otoimmun hastalıklar, maligniteler, geçirilmiş majör cerrahi girişimler, immobilite ve hiperhomosisteinemi metabolik hastalıklar DVT’ye yatkınlık oluştur. Homosistein metabolizmasını etkileyen vitamin B12 ve vitamin D eksikliğinin DVT gelişimi ile ilişkili olabileceği yönünde çalışmalar mevcuttur. Biz çalışmamızda DVT gelişmiş hastalarda, vitamin B12 ve vitamin D düzeylerinin kontrol grubuna göre kıyaslarak incelemeyi amaçladık. Materyal Metod: Çalışmamıza Aralık 2015-Aralık 2020 tarihleri arasında DVT saptanan 97 hasta ve DVT’si olmayan 91 birey alındı. Hasta ve kontrol grubunun serum vitamin B12 ve vitamin D düzeyleri ile klinik ve diğer tetkik sonuçları hastane bilgi sisteminden retrospektif olarak değerlendirildi. Bulgular: Çalışmaya alınan hasta ve kontrol grubu arasında demografik özellikler açısından fark saptanmadı. Serum vitamin D (19.64±8.68 vs 23.63±7.99, p<0.001) ve vitamin B12 düzeyleri (252.94±101.17 vs 338.51±102.76, p<0.001) DVT’si olan grupta, kontrol grubuna göre anlamlı olarak düşük saptandı. Çok değişkenli analizde, vitamin B12 düzeyinin DVT için bağımsız prediktör olduğu saptandı. (OR=0.991, %95 CI; 0.987-0.995, p<0.001). Sonuç: Vitamin B12 ve vitamin D düzeyleri kanda kolaylıkla bakılabilen parametrelerdir. Çalışmamızda DVT olan hastalarda her iki vitamin düzeyi de düşük olarak bulundu. Özellikle DVT açısından risk faktörleri bulunan hastalarda, DVT gelişiminin olası basit bir göstergesi olarak kullanılabilir.

Anahtar Kelimeler

• Vitamin B12
• Vitamin D
• Derin ven trombozu
• Hiperhomosisteinemi

Kaynakça

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