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Predictors of deep-vein thrombosis for acute stroke at admission to a rehabilitation unit: A retrospective study

BACKGROUND: Deep-vein thrombosis (DVT) is a common complication of acute stroke (AS). Only limited studies have discussed DVT in patients with AS at admission to a rehabilitation unit. The purpose of this study is to identify the predictors of DVT in AS patients admitted to a rehabilitation unit in...

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Autores principales: Li, Fang, Wei, Changkun, Huo, Su, Liu, Xiuzhen, Du, Jubao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10102505/
https://www.ncbi.nlm.nih.gov/pubmed/37064195
http://dx.doi.org/10.3389/fneur.2023.1137485
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author Li, Fang
Wei, Changkun
Huo, Su
Liu, Xiuzhen
Du, Jubao
author_facet Li, Fang
Wei, Changkun
Huo, Su
Liu, Xiuzhen
Du, Jubao
author_sort Li, Fang
collection PubMed
description BACKGROUND: Deep-vein thrombosis (DVT) is a common complication of acute stroke (AS). Only limited studies have discussed DVT in patients with AS at admission to a rehabilitation unit. The purpose of this study is to identify the predictors of DVT in AS patients admitted to a rehabilitation unit in China. METHODS: We retrospectively reviewed the medical records of all patients with AS admitted within 14 days of stroke onset between July 2019 and June 2022 at the Department of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, China. Ultrasonography was used to diagnose DVT in all patients within 3 days after rehabilitation admission. Univariate and binary logistic regression analyses were performed to determine the risk factors for DVT. RESULTS: Overall, 234 cases were identified and the incidence rate of DVT among AS patients was 13.2% (31/234). The univariate analysis showed that age, drinking, lower limb muscle strength, Brunnstrom Assessment (BRS), Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS), Barthel Index (BI) scale, serum albumin (Alb), and D-dimer were statistically significant factors. Age (OR = 1.037, 95% CI = 1.000–1.075, p < 0.05), BBS (OR = 0.952, 95% CI = 0.913–0.993, p < 0.05), and D-dimer (OR = 1.446, 95% CI = 1.130–1.849, p < 0.05) were demonstrated as independent risk factors for DVT. CONCLUSION: Older age, lower BBS, and higher D-dimer levels at rehabilitation admission were independent risk factors for DVT. Therefore, ultrasonography should be performed for those patients with these three significant factors before implementing rehabilitation therapy.
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spelling pubmed-101025052023-04-15 Predictors of deep-vein thrombosis for acute stroke at admission to a rehabilitation unit: A retrospective study Li, Fang Wei, Changkun Huo, Su Liu, Xiuzhen Du, Jubao Front Neurol Neurology BACKGROUND: Deep-vein thrombosis (DVT) is a common complication of acute stroke (AS). Only limited studies have discussed DVT in patients with AS at admission to a rehabilitation unit. The purpose of this study is to identify the predictors of DVT in AS patients admitted to a rehabilitation unit in China. METHODS: We retrospectively reviewed the medical records of all patients with AS admitted within 14 days of stroke onset between July 2019 and June 2022 at the Department of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, China. Ultrasonography was used to diagnose DVT in all patients within 3 days after rehabilitation admission. Univariate and binary logistic regression analyses were performed to determine the risk factors for DVT. RESULTS: Overall, 234 cases were identified and the incidence rate of DVT among AS patients was 13.2% (31/234). The univariate analysis showed that age, drinking, lower limb muscle strength, Brunnstrom Assessment (BRS), Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS), Barthel Index (BI) scale, serum albumin (Alb), and D-dimer were statistically significant factors. Age (OR = 1.037, 95% CI = 1.000–1.075, p < 0.05), BBS (OR = 0.952, 95% CI = 0.913–0.993, p < 0.05), and D-dimer (OR = 1.446, 95% CI = 1.130–1.849, p < 0.05) were demonstrated as independent risk factors for DVT. CONCLUSION: Older age, lower BBS, and higher D-dimer levels at rehabilitation admission were independent risk factors for DVT. Therefore, ultrasonography should be performed for those patients with these three significant factors before implementing rehabilitation therapy. Frontiers Media S.A. 2023-03-31 /pmc/articles/PMC10102505/ /pubmed/37064195 http://dx.doi.org/10.3389/fneur.2023.1137485 Text en Copyright © 2023 Li, Wei, Huo, Liu and Du. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Li, Fang
Wei, Changkun
Huo, Su
Liu, Xiuzhen
Du, Jubao
Predictors of deep-vein thrombosis for acute stroke at admission to a rehabilitation unit: A retrospective study
title Predictors of deep-vein thrombosis for acute stroke at admission to a rehabilitation unit: A retrospective study
title_full Predictors of deep-vein thrombosis for acute stroke at admission to a rehabilitation unit: A retrospective study
title_fullStr Predictors of deep-vein thrombosis for acute stroke at admission to a rehabilitation unit: A retrospective study
title_full_unstemmed Predictors of deep-vein thrombosis for acute stroke at admission to a rehabilitation unit: A retrospective study
title_short Predictors of deep-vein thrombosis for acute stroke at admission to a rehabilitation unit: A retrospective study
title_sort predictors of deep-vein thrombosis for acute stroke at admission to a rehabilitation unit: a retrospective study
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10102505/
https://www.ncbi.nlm.nih.gov/pubmed/37064195
http://dx.doi.org/10.3389/fneur.2023.1137485
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