CÁC YẾU TỐ NGUY CƠ CỦA HUYẾT KHỐI TĨNH MẠCH SAU PHẪU THUẬT TIỆT NIỆU: MỘT NGHIÊN CỨU BỆNH CHỨNG TỪ DỮ LIỆU BẢO HIỂM QUỐC GIA

Abstract

A descriptive cross-sectional study was conducted on 145,479 urology patients from January 2017 to September 2018. The patient was assessed for the risk score before surgery according to the adjusted Caprini risk assessement model and was monitored for a period of 30 days after surgery to determine the rate of venous thromboembolism (HKTM). Multivariate regression analysis was performed to identify the risk factors associated with the postoperative venous thromboembolism. There were 92 people diagnosed as having venous thrombosis after surgery within 30 days (accounting for 0.06%). The number of people with a Caprini score of 3-4 accounts for the highest proportion (49.3%). The study showed that the higher the Capriniscore, the greater the risk of developing venous thromboembolism after urological surgery. The relevant risk factors (p <0.001) for post-urinary surgery include age> 60, history of myocardial infarction, gastric ulcer, diabetes, cancer, hypertension, varicose vein, renal failure, history of thrombosis, peripheral vascular disease. These factors need to be assessed prior to surgery in order to assist in making clinically appropriate decisions for venous thromboembolism prevention.