Risk Factors and Prevalence of Deep Vein Thrombosis After the 2016 Kumamoto Earthquakes
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- Sato Koji
- Department of Cardiovascular Medicine, Kumamoto City Hospital
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- Sakamoto Kenji
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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- Hashimoto Yoichiro
- Department of Neurology, Kumamoto City Hospital
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- Hanzawa Kazuhiko
- Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine
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- Sueta Daisuke
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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- Kojima Sunao
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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- Fukuda Masaya
- Department of Cardiovascular Medicine, Kumamoto City Hospital
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- Usuku Hiroki
- Department of Cardiovascular Medicine, Kumamoto City Hospital
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- Kihara Fumie
- Department of Cardiovascular Medicine, Kumamoto City Hospital
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- Hosokawa Hiroshi
- Department of International Medical Relief, Japanese Red Cross Kumamoto Hospital
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- Nagai Yohei
- Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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- Nakajima Makoto
- Department of Neurology, Graduate School of Medical Sciences, Kumamoto University
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- Saito Yoshiharu
- Department of Cardiovascular Medicine, Kumamoto City Hospital
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- Sakai Kayoko
- Department of Cardiovascular Medicine, Kumamoto City Hospital
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- Masunaga Sumio
- Kumamoto Earthquakes Thrombosis and Embolism Protection (KEEP) Project
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- Tanaka Shinji
- Kumamoto Earthquakes Thrombosis and Embolism Protection (KEEP) Project
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- Fujimoto Kazuteru
- Kumamoto Earthquakes Thrombosis and Embolism Protection (KEEP) Project
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- Morihisa Kenji
- Department of Cardiology, Kumamoto Chuo Hospital
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- Noda Katsuo
- Department of Cardiology, Kumamoto Chuo Hospital
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- Nishigami Kazuhiro
- Kumamoto Earthquakes Thrombosis and Embolism Protection (KEEP) Project
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- Nagata Kohei
- Kumamoto Earthquakes Thrombosis and Embolism Protection (KEEP) Project
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- Fujisue Koichiro
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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- Tabata Noriaki
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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- Ando Yukio
- Department of Neurology, Graduate School of Medical Sciences, Kumamoto University
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- Tsujita Kenichi
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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- Ogawa Hisao
- National Cerebral and Cardiovascular Center
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- Hokimoto Seiji
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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<p>Background: After previous earthquakes, a high prevalence of deep vein thrombosis (DVT) has been reported. We examined DVT prevalence and risk factors in evacuees of the Kumamoto earthquakes by performing mobile DVT screening at various evacuation centers around the epicenter. </p><p>Methods and Results: For 1 month after the Kumamoto earthquake on 14 April 2016, mobile DVT screening using portable ultrasonography (US) was performed at 80 evacuation centers. Questionnaires, physical examination, and US of the lower limb were carried out, and simple D-dimer measurements were undertaken for DVT-positive examinees. The total number of examinees was 1,673, of whom 178 (10.6%) had DVT. The prevalence of DVT seemed to be gradually decreasing in the screening period, but age, use of sleep medication, prevalence of hypertension, dyslipidemia, leg edema, and lower leg varix were significantly higher in the DVT positive group than in the negative group. On multivariable logistic regression analysis, high age (≥70 years old), use of sleep medication, lower leg edema, and lower leg varix were significant predictors of DVT. In examinees with these 4 predictors, the DVT positive rate was 71.4%. </p><p>Conclusions: In the first month after the Kumamoto earthquakes, DVT prevalence and severity, evaluated on D-dimer level, decreased with the passage of time. Mobile DVT screening indicated significant factors stratifying DVT risk in the evacuees. </p>
収録刊行物
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- Circulation Journal
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Circulation Journal 83 (6), 1342-1348, 2019-05-24
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390001288138946432
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- NII論文ID
- 130007652777
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 029688362
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- PubMed
- 30956268
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- 本文言語コード
- en
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