지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.87 No.1
- 발행연도
- 2014.6
- 수록면
- 28 - 34 (7page)
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초록· 키워드
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Purpose: Deep vein thrombosis (DVT) is a severe and common complication that occurs after the major operation. Despite the commonality of DVT there is limited data on the incidence of DVT after kidney transplantation (KT). Furthermore, most studies have been retrospective in design and were conducted in western countries. The aim of this study was to evaluate the incidence of lower extremity DVT with mechanical thromboprophylaxis within 1 month of KT in Korea.
Methods: A total of 187 consecutive patients who underwent KT were included in this study. Patients used a graduated elastic stocking (n = 93) or an intermittent pneumatic compression device (n = 94) to prevent DVT. The frequency of DVT during the first month after KT was evaluated using serial color duplex ultrasound on postoperative days 7 ± 2, 14 ± 2, and 28 ± 3. All patients were tested for eight thrombophilic factors before KT.
Results: DVT occurred in four patients (2.1%) during the first month after KT. All DVT developed in the graduated elastic stocking group. Interestingly, none of the patients had the factor V Leiden mutation or the prothrombin gene 20210A mutation.
Conclusion: The incidence of DVT in this study was relatively lower than that of western populations. We did not encounter a factor V Leiden mutation or a prothrombin gene 20210A mutation in our study population. These findings suggest that inherited thrombophilic risk factors may be partially responsible for the difference in DVT incidence rates between different nationalities and/or ethnicities.
Methods: A total of 187 consecutive patients who underwent KT were included in this study. Patients used a graduated elastic stocking (n = 93) or an intermittent pneumatic compression device (n = 94) to prevent DVT. The frequency of DVT during the first month after KT was evaluated using serial color duplex ultrasound on postoperative days 7 ± 2, 14 ± 2, and 28 ± 3. All patients were tested for eight thrombophilic factors before KT.
Results: DVT occurred in four patients (2.1%) during the first month after KT. All DVT developed in the graduated elastic stocking group. Interestingly, none of the patients had the factor V Leiden mutation or the prothrombin gene 20210A mutation.
Conclusion: The incidence of DVT in this study was relatively lower than that of western populations. We did not encounter a factor V Leiden mutation or a prothrombin gene 20210A mutation in our study population. These findings suggest that inherited thrombophilic risk factors may be partially responsible for the difference in DVT incidence rates between different nationalities and/or ethnicities.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (28)
참고문헌 신청
1. [학술지(정기간행물)] - Naess IA. / 2007 / Incidence and mortality of venous thrombosis : a population-based study / J Thromb Haemost 5 : 692 ~ 699
2. [학술지(정기간행물)] - Silverstein MD. / 1998 / Trends in the incidence of deep vein thrombosis and pulmonary embolism : a 25-year population-based study / Arch Intern Med 158 : 585 ~ 593
3. [학술지(정기간행물)] - Spencer FA. / 2009 / Incidence rates, clinical profile, and outcomes of patients with venous thromboembolism. The Worcester VTE study / J Thromb Thrombolysis 28 : 401 ~ 409
4. [학술지(정기간행물)] - Geerts WH. / 2008 / Prevention of venous thromboembolism: American College of Chest Physicians EvidenceBased Clinical Practice Guidelines (8th Edition) / Chest 133 (6 Suppl) : 381S ~ 453S
5. [학술지(정기간행물)] - Oster G. / 1987 / A costeffectiveness analysis of prophylaxis against deep-vein thrombosis in major orthopedic surgery / JAMA 257 : 203 ~ 208
2. [학술지(정기간행물)] - Silverstein MD. / 1998 / Trends in the incidence of deep vein thrombosis and pulmonary embolism : a 25-year population-based study / Arch Intern Med 158 : 585 ~ 593
3. [학술지(정기간행물)] - Spencer FA. / 2009 / Incidence rates, clinical profile, and outcomes of patients with venous thromboembolism. The Worcester VTE study / J Thromb Thrombolysis 28 : 401 ~ 409
4. [학술지(정기간행물)] - Geerts WH. / 2008 / Prevention of venous thromboembolism: American College of Chest Physicians EvidenceBased Clinical Practice Guidelines (8th Edition) / Chest 133 (6 Suppl) : 381S ~ 453S
5. [학술지(정기간행물)] - Oster G. / 1987 / A costeffectiveness analysis of prophylaxis against deep-vein thrombosis in major orthopedic surgery / JAMA 257 : 203 ~ 208
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UCI(KEPA) : I410-ECN-0101-2015-510-001669963