Analysis of risk factors for lower limb deep vein thrombosis in patients after Lumbar Fusion Surgery

  • Qiang Li
  • Zongxue Yu
  • Xiao Chen
  • Wenli Zhang Qing Dao Hiser Medical Group
Keywords: Risk factors, Deep vein thrombosis, Lumbar fusion surgery

Abstract

Objective: To identify the risk factors of deep vein thrombosis (DVT) of lower limb in patients undergoing lumbar fusion surgeries, to provide a better understanding of DVT and take prophylactic measures.

Methods: This study was carried out in our hospital between January 2016 and February 2020, patients undergoing lumbar fusion surgeries were included and divided into DVT group and non-DVT group, and the medical data including basic demographics, clinical characteristics, operative data, and routine biochemical parameters were collected and analyzed.

Results: In the current study, 390 cases were included, 48 cases were enrolled in DVT group and 342 in non-DVT group. The incidence of DVT was 12.3%. There were significant differences in age, hyperlipemia, hypertension, occupation type, D-dimer level, hospital stay, and postoperative exercises (p<0.05), but no significant differences in gender, smoking status, drinking status, coronary heart disease, diabetes mellitus, fused segments, and operation time (p>0.05) between the two groups. In multivariate analysis, age>50 years, hypertension, D-dimer>500ug/L were independent risk factors, while postoperative exercises were protective factor for DVT.

Conclusion: Those patients undergoing lumbar fusion surgeries should take more prophylactic measures including postoperative exercises if they were elderly, or hypertensive, or have high D-dimer level, in order to decrease the incidence of DVT.

doi: https://doi.org/10.12669/pjms.37.1.3041

How to cite this:
Li Q, Yu Z, Chen X, Zhang W. Analysis of risk factors for lower limb deep vein thrombosis in patients after Lumbar Fusion Surgery. Pak J Med Sci. 2021;37(1):239-243. doi: https://doi.org/10.12669/pjms.37.1.3041

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2020-12-09
How to Cite
Li, Q., Yu, Z., Chen, X., & Zhang, W. (2020). Analysis of risk factors for lower limb deep vein thrombosis in patients after Lumbar Fusion Surgery. Pakistan Journal of Medical Sciences, 37(1). https://doi.org/10.12669/pjms.37.1.3041