
Deep Vein Thrombosis and the Neurosurgical Patient
Author(s) -
Rakesh Rethinasamy,
Azmi Alias,
Regunath Kandasamy,
Azman Raffiq,
Mun Choon Looi,
Tassha Hillda
Publication year - 2019
Publication title -
the malaysian journal of medical sciences/the malaysian journal of medical science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.394
H-Index - 25
eISSN - 2180-4303
pISSN - 1394-195X
DOI - 10.21315/mjms2019.26.5.13
Subject(s) - medicine , deep vein , thrombosis , neurosurgery , incidence (geometry) , surgery , physics , optics
Neurosurgical patients are varied, encompassing cranial and spinal diseases and trauma, and are admitted under both elective and emergency settings. In all settings, neurosurgery patients are at risk of deep vein thrombosis. D-dimer and ultrasound Doppler have long been good screening and confirmatory tools for the diagnosis of deep vein thrombosis (DVT). We conducted a study to identify the factors associated with DVT among neurosurgical patients, and the overall rate of occurrence at our centre. We aimed to also compare our results to the incidence in similar studies elsewhere in which more judicious use of pharmacological prophylaxis was undertaken. We also included the Well's score to validate its usefulness in screening for DVT in our local setting.