TỶ LỆ THUYÊN TẮC PHỔI Ở BỆNH NHÂN SAU MỔ CÓ YẾU TỐ NGUY CƠ THUYÊN TẮC PHỔI CAO THEO THANG ĐIỂM WELLS TẠI BỆNH VIỆN NGUYỄN TRI PHƯƠNG

Abstract

Purpose: Studying the proportion of pulmonary embolism (PE) in postoperative hospital stay, especially in the group of patients in the high-risk group (≥ 7 points) according to the Wells 3-level scale. Subjects and methods: The retrospective descriptive study of cases who had surgery at the Department of Surgery and Intensive Care Unit of Nguyen Tri Phuong Hospital from June 2019 to June 2021 with high risks of PE (≥ 7 points) according to the Wells 3-level scale (ESC 2019). Determine the rate of PE in postoperative patients in the high-risk group and the risk factors for PE in these patients. Results: In 53 surgical patients with high risks of PE (≥ 7 points) according to the Wells 3-level scale (ESC 2019), there were 27 cases of pulmonary embolism (46.3%). There were 25 males (47.2%), 28 females (52.8%), the average age was 56.79 ± 13.08. Prominent symptoms are dyspnea (88.7%), tachypnea (92.6%), chest pain (55.6%). The average time to diagnose PE was 11.48 ± 2.92 days. The average postoperative stay was 18.89 ± 3.06 days. There was a relationship between a history of hypertension (p < 0.05), emergency surgery (p < 0.05), postoperative infection status (p < 0.05), lying motionless above 5 days after surgery (p < 0.05), Wells score ≥ 9 points (p < 0.05) and the PE. Conclusion: PE in high-risk postoperative patients (≥ 7 points) according to the Wells 3-level scale (ESC 2019) is associated with postoperative immobility above 5 days, history of hypertension, and postoperative infection status