Spinal Kord yaralanmalı hastalarda venöz tromboembolizm için risk faktörlerinin ortaya konması: Tek merkezli Türkiye verileri

Amaç Spinal kord yaralanması travmatik veya travmatik olmayan nedenlerle oluşur ve kardiyovasküler sistem hastalıkları ve yüksek venöz tromboembolizm (VT) riski ile ilişkilidir. Bu çalışmanın amacı spinal kord yaralanmalı hastalarda VT ile ilişkili risk faktörlerini ortaya koymaktır. Gereç ve Yöntem Çalışma spinal kord yaralanması tanısı olan ve 3. Basamak araştırma hastanesi rehabilitasyon kliniğine başvurup konvansiyonel rehabilitasyon programına dahil edilen 326 hastadan oluşmaktadır. Veriler retrospektif olarak toplanmıştır. Venöz tromboembolizm için risk faktörleri ortaya konmuştur. Bulgular Yaş, ek sistemik hastalıklar veya spinal kord yaralanması etiyolojisi açısından VT olan ve olmayan gruplar arasında fark yoktur. Gruplar cinsiyet, yaralanma seviyesi ve yaralanma süresi açısından farklılık göstermektedir. Tek risk faktörü yaralanma seviyesidir. Sonuç Bu çalışmada spinal kord yaralanmalı hastalarda yaralanma seviyesi risk faktörü olarak bulunmuştur. Spinal kord yaralanmalı hastalara VT açısından yaklaşımda akılda bulundurulmalıdır.

Anahtar Kelimeler:

Spinal kord yaralanması, venöz tromboembolizm, derin venöz tromboembolizm, pulmoner embolizm

Risk factors for venous thromboembolism in patients with spinal cord injury: A single-center Turkish study

Objective Spinal cord injury (SCI) occurs due to trauma or non-traumatic conditions may be associated with comorbidities related to cardiovascular system and higher risk for venous thromboembolism (VTE). This study aimed to identify risk factors for VTE in patients with SCI. Material and Methods The study included 326 patients diagnosed as SCI that were admitted to the inpatient tertiary research hospital rehabilitation clinic and enrolled in a conventional rehabilitation program. The data were collected retrospectively. Risk factors for developing VTE were identified. Results There were no significant differences in age, comorbidities or SCI etiology between the patients with and without VTE. The groups differed significantly in gender, level of injury and duration of SCI. Risk factor for VTE were only level of injury. Conclusions The present findings show that paraplegic injury level may be considered risk factor for developing VTE in SCI patients. It should be considered when approaching the possibility of VTE in SCI patients.

Keywords:

Spinal cord injury, venous thromboembolism, deep venous thromboembolism, pulmonary embolism,

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