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Titolo:
DEEP-VEIN THROMBOSIS - PREVENTION IN STROKE PATIENTS DURING REHABILITATION
Autore:
PAMBIANCO G; ORCHARD T; LANDAU P;
Indirizzi:
RANGOS RES CTR,3460 5TH AVE PITTSBURGH PA 15213 UNIV PITTSBURGH,GRAD SCH PUBL HLTH,DEPT EPIDEMIOL PITTSBURGH PA 00000 HARMARVILLE REHAB CTR PITTSBURGH PA 00000
Titolo Testata:
Archives of physical medicine and rehabilitation
fascicolo: 4, volume: 76, anno: 1995,
pagine: 324 - 330
SICI:
0003-9993(1995)76:4<324:DT-PIS>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
VENOUS THROMBOSIS; ISCHEMIC STROKE; HEPARIN; TRIAL; PROPHYLAXIS; DIAGNOSIS; SURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
31
Recensione:
Indirizzi per estratti:
Citazione:
G. Pambianco et al., "DEEP-VEIN THROMBOSIS - PREVENTION IN STROKE PATIENTS DURING REHABILITATION", Archives of physical medicine and rehabilitation, 76(4), 1995, pp. 324-330

Abstract

Deep vein thrombosis (DVT) and subsequent pulmonary embolism (PE) is a major source of mortality and morbidity in stroke patients, This study was designed to determine the effectiveness of different prophylactic treatments in the prevention of DVT after a stroke in patients undergoing rehabilitation, An additional objective was the identification of risk factors for DVT in stroke patients during rehabilitation, Three hundred and sixty patients, over a 3-year period, were randomly assigned to one of four groups: adjusted dose heparin, intermittent pneumatic compression (IPC), functional electrical stimulation (FES), or control, There was no significant difference in the development of DVT bytreatment group, Patients with DVT on admission (prevalent, n = 61) were compared with the study patients (n = 360), Time interval (from stroke to admission) and lactic dehydrogenase (LDH) concentration were significant risk factors, as well as predictors, for development of DVT(p < .000). These results suggest that the longer a patient remains without DVT prophylaxis after a stroke, the greater the risk of developing DVT and this supports early prophylaxis before rehabilitation. (C)1995 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 12:28:57