Prevalencia del sindrome postrombotico en pacientes con trombosis venosa profunda en el Hospital Guayaquil durante el periodo 2018-2020.

Abstract

Post thrombotic syndrome is a complication that appears quite frequently in patients with deep vein thrombosis. It is a pathology with high morbidity and mortality within hospitals. The diagnosis of PTS is completely clinical, it is characterized by edema, trophic changes and varicose veins in the lower limbs, venous insufficiency can also be confirmed with Echo Doppler. The objective of this study is to identify the prevalence of post-thrombotic syndrome in patients with deep vein thrombosis in the lower limbs at the Dr. Abel Gilbert Pontón Hospital, period 2018-2020. The methodology applied is observational descriptive, cross-sectional and retrospective, based on the collection of data from medical records in patients diagnosed with DVT who have had signs and symptoms associated with post-thrombotic syndrome. Results: Of a population of 335 patients, only 219 patients met the previously established inclusion criteria. The prevalence of deep vein thrombosis (DVT) was 54 out of 100 patients, and from these, 9.17% with a mean age of 73.5±2.64, clinical, mechanical and pharmacological aspects were present in 100% and evidence of 100% of signs of venous insufficiency by Doppler ultrasound. It is concluded that the prevalence of post-thrombotic syndrome in patients with deep vein thrombosis is high, the female sex is the most affected, with left functional limitation, although Doppler ultrasound is very useful, it was found that, in the absence of this, a good physical examination and measurement of evaluative scales are sufficient to determine a diagnosis, in addition, the calculation of Calculated Chi turned out to be greater than Chi table, so the null hypothesis was rejected.