Analysis of patients with venous thromboembolism in a multi-specialty tertiary hospital in South India

Abstract

Objectives: The objective of this study is to ascertain the incidence of venous thromboembolism (VTE) in Indian patients at a tertiary care center with emphasis on the data pertaining to demographics, management, and temporal trends. Materials and Methods: This was a retrospective cross-sectional Level II audit study carried out in the Department of Vascular Surgery at our institute from January 2012 to December 2017. The patients were identified from the electronic medical records by the International Classification of Diseases code. Consecutive patients were identified from the above-mentioned time period, and data on demographics, presentation, site, predisposing factors, etiology, primary referring specialty, and management were recorded. Results: This was a 6-year retrospective study and a total number of 1010 patients were included in the study that presented primarily with VTE. There were a total of 518,111 admissions in this period with a VTE incidence of 19.49/10,000 cases. Males contributed to 55% of patients in this study. Acute deep-vein thrombosis (DVT) (<14 days of presentation) contributed to 66% of the patients. The age group between 41 and 60 years had the maximum incidence of DVT of 43.9%. Provoking factors were found in 48.8% (493) of the cases. Conclusions: VTE is a common disease and is associated with reduced survival and significant morbidity. More locoregional registries like ours are the need of the hour and will help large institutions identify their lacunae and address areas, which need attention, like thromboprophylaxis and uniform management.

Keywords

• deep-vein thrombosis
• indian population
• tertiary hospital
• venous thromboembolism