ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Do appropriate thromboprophylaxis and routine physiotherapy prevent venous thromboembolism in intensive care unit?
Gülfer Okumuş1, Bahar Özçelik1, Hadi Sasani2, Perihan Ergin Özcan3, Esen Kıyan1, Artur Salmaslıoğlu2, Evren Şentürk3, Halim İssever4, Orhan Arseven1
1Departments of Pulmonary Disease, İstanbul University, İstanbul Medical Faculty, İstanbul, Turkey
2Departments of Radiology, İstanbul University, İstanbul Medical Faculty, İstanbul, Turkey
3Departments of Anesthesiology and Intensive Care İstanbul University, İstanbul Medical Faculty, İstanbul, Turkey
4Departments of Public Health, İstanbul University, İstanbul Medical Faculty, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2015.9440
Background: This study aims to investigate the prevalence and incidence of venous thromboembolism in intensive care unit (ICU) patients receiving thromboprophylaxis.

Methods: Seventy-four consecutive patients (34 females, 40 males; mean age 55.8±19.4 years; range 20-86 years) admitted to the medical-surgical ICU, who were ≥18 years old and expected to stay in ICU for ≥72 hours, were included. Demographic data, Acute Physiology and Chronic Health Evaluation II scores, baseline and time-dependent deep vein thrombosis (DVT) risk factors were recorded. Bilateral lower extremity compression ultrasound was performed twice weekly, and one week after discharge from ICU. If DVT was suspected at any time during ICU stay, compression ultrasound was repeated. All patients were administered low molecular weight heparin or mechanical thromboprophylaxis. Also, passive extremity exercises were applied by physiotherapist to all patients every day.

Results: Mean Acute Physiology and Chronic Health Evaluation II score was 17±6.1. The prevalence of DVT was 2.7% (CI 95% 3.3-9.42) on ICU admission. Of the patients, 89.1% were administered low molecular weight heparin, and 10.9% were administered mechanical thromboprophylaxis. We did not detect new DVT or pulmonary embolism during the ICU stay.

Conclusion: Although DVT prevalence in ICU was 2.7%, appropriate and effective thromboprophylaxis prevented the development of new DVT during ICU stay.

Keywords : Deep vein thrombosis; intensive care unit; physiotherapy; pulmonary embolism; thromboprophylaxis
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