Deep Venous Thrombosis in Stroke Patients : An Analysis of the Rehabilitation Patient Database of the Japanese Association of Rehabilitation Medicine

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  • 脳卒中患者における深部静脈血栓症の実態調査
  • 脳卒中患者における深部静脈血栓症の実態調査 : 日本リハビリテーション医学会リハビリテーション患者データベースの分析
  • ノウソッチュウ カンジャ ニ オケル シンブ ジョウミャク ケッセンショウ ノ ジッタイ チョウサ : ニホン リハビリテーション イガッカイ リハビリテーション カンジャ データベース ノ ブンセキ
  • —日本リハビリテーション医学会リハビリテーション患者データベースの分析—

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Abstract

As a scholarly research activity using “the Japanese Association of Rehabilitation Medicine rehabilitation patient database”, we performed an analysis with the objective of clarifying the actual conditions of DVT in stroke patients. The subjects consisted of 345 stroke patients with DVT data from the “December 2010 version" of the database. In 9 of the 345 cases (2.6%), DVT complications were observed. No significant relevance among NIHSS, mRS, or the FIM score was found at the time of admission to hospital. In addition, no association with the number of days from the onset of PT (which is believed to be a related factor) and the onset of DVT was observed. For the acute condition change rate, the DVT complication group was observed to have a significantly high rate. Moreover, for the home recovery rate, the DVT complication group was observed to have a significantly low rate. Therefore, using only the severity of the condition at the time of admission and the length of the period until the commencement of rehabilitation, it is difficult to predict the onset of DVT, and it was shown that there is a danger of DVT occurring in any stroke patient. Furthermore, the acute condition change rate when DVT occurs as a complication is high. As a result, it is therefore necessary to be vigilant in the prevention and early diagnosis of DVT.

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