Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases
essential_information
2019-01-21
Published articles
Journal：Journal of vascular nursing
Publication type: Research Article
IF(IF): 2.51
PMID: 30954193 Link To Pubmed Full text Download
Background And Purpose
Method
This study is based on a prospective cohort (in-hospital medical complication after acute stroke [iMCAS] registry) enrolling patients with acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH). In-hospital DVT was diagnosed by clinical manifestations and verified by compression Doppler ultrasound. A logistic regression analysis was performed to assess the association between stroke subtypes and occurrence of DVT.
Conclusion
In conclusion, patients with hemorrhagic stroke (ICH and SAH) have significantly higher risk of in-hospital DVT than patients with AIS. Further studies on pathophysiologic mechanisms are warranted.
Main results
A total number of 1,771 patients were enrolled in the iMCAS. The mean age was 57.1 ± 12.9 years, and 27.5% were female patients. The median length of stay was 14 days (interquartile range [IQR], 11-16). The median National Institutes of Health Stroke Scale score on admission for patients with AIS, ICH, and SAH was 4 (IQR: 2-8), 4 (IQR:1-10), and 0 (IQR:0-0), respectively. In-hospital DVT after AIS, ICH, and SAH was 1.9%, 5.7%, and 7.9%, respectively. The median time from stroke onset to DVT formation after AIS, ICH, and SAH was 10.5 days (IQR: 3.8-14.5), 7.5 days (IQR:4.0-9.5), and 7.0 days (IQR:5.0-12.5), respectively. After adjusting for potential confounders, patients with ICH (odds ratio = 7.350; 95% confidence interval = 2.411-22.13; P < .001) and SAH (odds ratio = 11.92; 95% confidence interval = 5.192-27.38; P < .001) had significantly higher risk of in-hospital DVT than those patients with AIS.