NGUY CƠ THUYÊN TẮC HUYẾT KHỐI TĨNH MẠCH TẠI KHOA NỘI TIM MẠCH BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Aim: (1) Proportion of patients requiring prevention of risk of venous thromboembolism. (2) Investigate the relationship between the risk of venous thromboembolism in cardiovascular patients with sociometric, clinical and paraclinical factors. Methods: Cross-sectional descriptive analysis of 124 patients hospitalized at the Department of Cardiology, Can Tho Central General Hospital from January 2024 to the end of March 2024. Results: From January 2024 to March 2024, 124 patients were selected for the study. Among them, there are 72 patients (58%). The average age was 66.3 ± 18.1 years. There are 57.3% of patients at high risk of VTE (Padua ≥ 4 points). Cardiovascular risk factors such as smoking, obesity and reasons for hospitalization such as shortness of breath, chest pain, fatigue is also considered a factor leading to the risk of VTE. Commonly appearing factors in the Padua scale are: Immobility (57.3%), heart or respiratory failure (55.6%), age ≥ 70 (51.6%), acute infection (45.2%), acute myocardial infarction (12.9%). Patients with diabetes, hypertension, heart failure, and COPD have a higher risk of VTE than patients without: Diabetes (OR=3.2; p=0.002); Hypertension (OR=2.67; p=0.009); Heart failure (OR=3.6; P=0.001); COPD (OR=3; p=0.036). No statistically significant difference was found between ejection fraction (EF), coagulation factors (APTT, PT, INR) and the risk of VTE. Conclusion: Inpatients at the Department of Cardiology are at high risk of VTE according to the PADUA assessment scale. Therefore, early prevention needs to be emphasized and enhanced during the patient's treatment process.