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| Evaluation of risk factors of venous thromboembolism in gynecological patients and construction of risk early warning scale |
| WANG Hao1,2 HUANG Rong3 LI Xiaohan1 WANG Ye3 |
1.Medicine School, Tongji University, Shanghai 200092, China;
2.Operating Room, Shanghai Fengxian District Central Hospital, Shanghai 201499, China;
3.Delivery Room, the First Maternal and Infant Hospital Affiliated to Tongji University, Shanghai 201204, China |
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Abstract Objective To explore the risk factors of postoperative venous thromboembolism (VTE) in gynecological patients, and to construct and verify the risk early warning scale of gynecological VTE. Methods Clinical data of patients who underwent gynecological surgery in Shanghai Fengxian District Central Hospital from January 2017 to December 2019 were retrospectively analyzed. Fifty-three patients with VTE were selected as the case group, and 167 patients without VTE were selected as the control group according to the ratio of 1∶3 in the same department and hospitalized at the same time. The risk factors of postoperative VTE in gynecological patients were analyzed, and the risk early warning scale of gynecological VTE was constructed and verified. Results There were statistically significant differences between the two groups in the proportion of age, hypertension, hyperlipidemia, intraoperative blood transfusion, operative time, bed time, disease types and use of contraceptives (P < 0.05). Age≥60 years old, hypertension, use of contraceptives, hyperlipidemia, operation time ≥180 min, bed time ≥96 h, malignant tumor were risk factors for VTE (OR >1, P < 0.05). The standard of gynecological VTE risk early warning scale constructed was low risk < 2.8 points and high risk ≥2.8 points. There was statistical significance in the proportion of different risk grades between the two groups (P < 0.05). Conclusion The risk factors of gynecological patients complicated with VTE are complex. The risk early warning scale can be used to prevent and reduce the incidence of VTE in gynecological surgery patients, and is easy to be applied in clinical practice.
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