Deep venous thrombosis after major abdominal surgery in a Ugandan hospital: a prospective study

Author: 
Andrew
L Muleledhu
Moses
Galukande
Patson
Makobore
Tom
Mwambu
Faith
Ameda
Elsie
Kiguli-Malwadde
Countries: 
Uganda
Date of Publication: 
June 2013
Description: 

Deep venous thrombosis (DVT) is a major cause of morbidity and mortality among postoperative patients. Its incidence has been reported to range between 16% and 38% among general surgery patients and may be as high as 60% among orthopaedic patients. The most important clinical outcome of DVT is pulmonary embolism, which causes about 10% of hospital deaths. In over 90% of patients, occurrence of DVT is silent and
presents no symptoms until onset of pulmonary embolism and/or sudden death. The only effective way of guarding against this fatal condition is therefore prevention/prophylaxis. However, prophylaxis programs are usually based on the estimated prevalence of DVT in that particular community. There is currently no data concerning rates of postoperative DVT in Uganda. The purpose of the study was therefore to determine the prevalence of DVT among postoperative patients at Mulago Uganda’s National Referral Hospital

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