Relationships of DVT (Deep Vein Thrombosis) Based on Ultrasound with 72 Hours ICU Patients Using Mechanical Ventilation at RSUP. Haji Adam Malik Medan
Nasution, Akhyar H.
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INTRODUCTION: Deep vein thrombosis is formation of thrombus which often attacks deep veins, especially lower extremities. VTE itself has an incidence rate 1 per 1000 people and mortality rate around 60,000-100,000 per year.1,2 Patients with critical illness also have risk factors, in context of ICU care. Some studies write incidence of patients experiencing DVT in general ICU care around 8% to 40% .3 Therefore, this study aims to determine relationship between 72 hours ICU patient using mechanical ventilation and incidence of DVT. METHOD: This study is a prospective cohort analytic study to see relationship between 72 hours ICU treatment using mechanical ventilation with incidence of DVT in ICU patients at H. Adam Malik General Hospital Medan during August-September 2019. Inclusion criteria were patients aged 18-65 years and patients who using mechanical ventilation after 72 hours treatment at ICU. RESULT: Study was followed by 39 samples treated at ICU Haji Adam Malik Hospital Medan. It was found that proportion of male sample was 22 people (56.4%), most age group was 48-62 years as many as 15 people (38.5%), all samples did not experience DVT on first day care, found 10 sample (25.6%) who had DVT on the 72-hour treatment (p <0.001). Then results of analysis between a two variables have a significant relationship, (p value <0.05; CI: 95%). DISCUSSION: In this study, number of men tends to be more than women. There are no definitive theories regarding sex population associated with ICU care. The results of study of the 72-hour DVT incidence were also further strengthened by the results of analysis relationship between two variables of the DVT incidence and the ICU treatment for 72 hours. CONCLUSION: There is an association between 72 hours ICU care using mechanical ventilation with incidence of DVT in this study. (p value: 0,001, pvalue <0,005).