IDENTIA Registry: Incidence of Deep Vein Thrombosis in Medically Ill Subjects at High Risk in Indonesia: A Prospective Study

Authors

  • Karmel L. Tambunan Department of Internal Medicine, Cikini Hospital and Universitas Indonesia, Jakarta, Indonesia.
  • Johan Kurnianda Department of Internal Medicine, Faculty of Medicine Universitas Gadjah Mada - Dr. Sardjito Hospital, Yogyakarta, Indonesia
  • Catharina Suharti Department of Internal Medicine, Faculty of Medicine, Diponegoro University - Dr. Kariadi Hospital, Semarang, Indonesia
  • Shinta O. Wardhani Department of Internal Medicine, Faculty of Medicine, Brawijaya University - Dr. Saiful Anwar Hospital, Malang, Indonesia
  • Lugyanti Sukrisman Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Noorwati Soetandyo Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Dharmais Cancer Hospital, Jakarta, Indonesia
  • Ni Made R.A. Rena Department of Internal Medicine, Faculty of Medicine, Udayana University - Sanglah Hospital, Denpasar Indonesia
  • Nuzirwan Acang Department of Internal Medicine, Faculty of Medicine, Andalas University - Dr. M. Djamil General Hospital, Padang, Indonesia
  • Andi F. Benyamin Department of Internal Medicine, Faculty of Medicine, Hasanuddin University Hospital, Makassar, Indonesia
  • Muhammad Darwin Prenggono Department of Internal Medicine, Faculty of Medicine, Lambung Mangkurat University - Ulin Hospital, Banjarmasin, Indonesia
  • Dairon Gatot Department of Internal Medicine, Faculty of Medicine, Sumatera Utara University - H. Adam Malik Hospital, Medan, Indonesia
  • Trinugroho Heri Fadjari Department of Internal Medicine, Faculty of Medicine, Padjadjaran University - Dr. Hasan Sadikin Hospital, Bandung, Indonesia
  • Jacub Pandelaki Department of Radiology, Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia

Keywords:

deep vein thrombosis, incidence, medically ill

Abstract

Background: medically ill hospitalized patients are at risk of deep vein thrombosis (DVT) and consequentially have high chances of mortality. In Indonesia, there is disparity in healthcare facility and data on incidence of DVT in this multi-ethnic, geographically unique country with large population are limited. Hence, we determined the incidence of DVT and evaluated mean Wells score among medically ill hospitalized persons at increased risk. Methods: in this multicenter, prospective, observational registry in Indonesia, subjects (age >40 years) with acute medical illness (like cancer, acute infection, or severe respiratory disease) confined to bed for >3 days were enrolled between January 2016 and November 2017. Data for medical history, Wells score, and DVT diagnosis with compression ultrasonography (CUS) were recorded. DVT incidence was analyzed in eligible and evaluable groups. Data were analyzed by descriptive method. Results: out of 360 subjects enrolled, 334 were included in the eligible group for analyses. CUS could not be performed in 26 subjects. Thus, 308 subjects who completed the study were included in the evaluable group. Javanese were predominant in the eligible group and obesity was the most common medical history at presentation. Overall, incidence of DVT in eligible and evaluable patients was 37.1% and 40.3%, respectively. Mean (SD) Wells score and bedridden days were 3 (1.20) and 9 (6.89), respectively. Conclusion: this study indicated that the incidence of DVT is high in medically ill patients in Indonesia and will provide new insights and awareness about DVT in Indonesia.

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Published

2020-04-14

How to Cite

Tambunan, K. L., Kurnianda, J., Suharti, C., Wardhani, S. O., Sukrisman, L., Soetandyo, N., Rena, N. M. R., Acang, N., Benyamin, A. F., Prenggono, M. D., Gatot, D., Fadjari, T. H., & Pandelaki, J. (2020). IDENTIA Registry: Incidence of Deep Vein Thrombosis in Medically Ill Subjects at High Risk in Indonesia: A Prospective Study. Acta Medica Indonesiana, 52(1), 14. Retrieved from https://actamedindones.org/index.php/ijim/article/view/1239

Issue

Vol. 52 No. 1 (2020): Acta Medica Indonesiana

Section

ORIGINAL ARTICLE

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