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DEEP VEIN THROMBOSIS INCIDENCE IN LOWER EXTREMITIES AND ASSOCIATED FACTORS IN END-STAGE KIDNEY DISEASE PATIENTS UNDERGOING EMERGENT FEMORAL CATHETER PLACEMENT FOR HEMODIALYSIS
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Abstract
Background: Emergency femoral dialysis catheter placement, a common procedure in end-stage kidney disease patients, is associated with complications such as deep vein thrombosis of the lower extremities, with a reported incidence of 16.7%, overlapping symptoms with a high risk of mortality. Objectives: To determine the rate of deep vein thrombosis of the lower extremities in end-stage kidney disease patients undergoing emergency femoral dialysis catheter placement and some related factors of deep vein thrombosis of the lower extremities. Materials and methods: A randomized study of 50 end-stage kidney disease patients undergoing emergency femoral dialysis catheter placement at the Nephrology-Hemodialysis Department, Can Tho Central General Hospital, from 2023-04 to 2024-04. Results: Among the 50 participating patients, the average age was 55.64 ± 18.36, males accounted for 40%, and the rate of deep vein thrombosis of the lower extremities in end-stage kidney disease patients with emergency femoral dialysis catheters was 18%. There was a correlation between a history of cancer and immobility with deep vein thrombosis of the lower extremities with ORs of 15.6 (2.25-108.11) and 39 (5.35-283.86), respectively, with p<0.001. In multivariate logistic regression analysis, cancer and immobility were factors that simultaneously caused DVT with a p-value <0.05. Out of a total of 9 patients with deep vein thrombosis of the lower extremities, 2 patients showed clear clinical symptoms, 6 out of 9 patients with deep vein thrombosis of the lower extremities were related to the catheterized leg. Conclusions:. The rate of deep vein thrombosis of the lower extremities was 18%, correlated with a history of cancer, immobility, and the catheterized leg. The majority of patients with deep vein thrombosis of the lower extremities did not exhibit clear clinical symptoms.
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Keywords
end-stage kidney disease patients, double lumen catheter, deep vein thrombosis (DVT), hemodialysis
References
2. Trí Nguyễn Văn. (2014), “Bệnh thuyên tắc huyết khối tĩnh mạch”, Chi nhánh TP Hồ Chí Minh, Nhà xuất bản Y học, tr.1-40
3. Ali Akbar Heydari (MD), et al. (2015), “The role of daily measurement of lower limb circumference in early diagnosis of deep vein thrombosis in the presence of other risk factors in patients admitted to Infectious Diseases Ward of Imam Reza Hopital, Mashhad, during 2012-2013”, Patient Safety and Quality Improvement Journal, 2015,286-290., 3(4), pp.286-290.
4. Alikhan R, Cohen A.T., Combe S. (2004), “Risk Factors for Venous Thromboembolism in Hospitalized Patient With Acute Medical Illness: Analysis of the MEDENOX Study”, Arch. Intern. Med., 164(9), pp.963-968.
5. Ayatollahzade I. F., Pashang M., Omran A.S., Saadat S., et al (2013), “Comparing the impact of supine and leg elevation positions during coronary artery bypass graft on deep vein thrombosis occurrence: a randomized clinical trial study”, Journal of Vascular Nursing, 31(2), pp. 64-67.
6. Hamid RS, Kakaria AK, Khan SA, Mohammed S, Al-Sukaiti R, Al-Riyami D et al. Safety and complications of double-lumen tunnelled cuffed central venous dialysis catheters: clinical and radiological perspective from a tertiary centre in Oman. Sultan Qaboos Univ Med J. 2015;15(4): e501-6. PubMed| Google Scholar
7. Mir Mohammad Miri, Reza Goharani, Mohammad Sistanizad (2017), “Deep Vein Thrombosis among Intensive Care Unit Patients; an Epidemiologic Study”, Emergency, 5 (1): e13,
8. Parienti J-J, Mongardon N, Mégarbane B, Mira J-P, Kalfon P, Gros A et al. Intravascular complications of central venous catheterization by insertion site. N Engl J Med. 2015;373(13): 1220-9. PubMed| Google Scholar