Leveraging Digital Platforms to Investigate Deep Vein Thrombosis Frequency among Spinal Surgery Candidates

Document Type : Original Article

Authors

1 Department of Neurological Surgery, Iran University of Medical Sciences, Tehran, Iran

2 Neurosurgeon, Rasool-e Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

3 Department of Neurosurgery, Skull Base Research Center, Iran University of Medical Sciences, Tehran, Iran

4 Department of Neurosurgery, Rasool Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

5 Department of Anatomical Sciences, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

6 Pharmacist, University College London, England, London

7 Medical Student, Iran University of Medical Sciences (IUMS), Tehran, Iran

Abstract

Background: In recent years, the integration of medical research and digital technology has enabled new approaches to studying complex healthcare issues. Deep Vein Thrombosis (DVT), a serious condition involving blood clots in deep veins, poses significant risks for surgical patients due to postoperative immobilization. This study aimed to assess the use of digital platforms to investigate the incidence of DVT among candidates for spinal surgery.
Methods: This retrospective study was conducted at Hazrat Rasool-Akram (PBUH) Hospital in Tehran, Iran, from February 2014 to February 2019 to investigate the frequency of DVT among spinal surgery candidates using digital platforms. Electronic Health Records (EHR) from various hospital databases were collected, preprocessed, and integrated on a secure cloud-based platform to facilitate collaborative access and advanced analytics. These records included detailed patient information such as medical history, diagnoses, medications, treatment plans, immunizations, allergies, radiology images, and laboratory results. Following eligibility screening, 218 patients met the inclusion criteria. Data analysis was performed using STATA software, applying descriptive statistics, chi-square tests, and assessing associations between ultrasound findings and clinical variables.
Results: The mean age of the patients was 49.22±11.22 years. The frequency of DVT among candidates for back surgery was 1.83%. Regarding D-dimer levels, our study showed that all four patients with DVT had elevated D-dimer, while only 34 patients without DVT had high D-dimer levels. The results indicated that a history of hospitalization reduced the risk of DVT in patients undergoing back surgery (P=0.028), whereas a high serum D-dimer level was a significant warning sign for the occurrence of DVT in these patients (P=0.001).
Conclusion: This study highlights the value of digital platforms in investigating the frequency of DVT among spinal surgery candidates, emphasizing the associations between D-dimer levels, medical history, and DVT risk. These findings provide insights that can inform clinical assessments and interventions for this group of patients.

Keywords

References

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Interdisciplinary Journal of Virtual Learning in Medical Sciences
Volume 14, Issue 4 - Serial Number 55
December 2023
Pages 294-300

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History

  • Receive Date: 06 July 2023
  • Revise Date: 21 July 2023
  • Accept Date: 10 August 2023
  • Publish Date: 01 December 2023

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