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Long-Term Prevalence of Disaster-Related Deep Vein Thrombosis in Minamiaso Village After the 2016 Kumamoto Earthquakes: A Prospective Cross-Sectional Analysis

Published online by Cambridge University Press:  19 November 2021

Hidenori Onishi Open the ORCID record for Hidenori Onishi [Opens in a new window] ,
Osamu Yamamura ,
Hiromasa Tsubouchi ,
Takeshi Hirobe ,
Ikuko Kosugi ,
Soichi Enomoto ,
Tami Yamamoto ,
Satoshi Daitoku ,
Naomi Satou  and
Hiroshi Chiba
...Show all authors
Hidenori Onishi
Affiliation:
Department of Infectious Diseases, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
Osamu Yamamura*
Affiliation:
Department of Infectious Diseases, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
Hiromasa Tsubouchi
Affiliation:
Department of Radiotechnology, Fukui-Ken Saiseikai, Fukui, Japan
Takeshi Hirobe
Affiliation:
Department of Clinical Laboratory, Fukui Prefectural Hospital, Fukui, Japan
Ikuko Kosugi
Affiliation:
Department of Vascular Surgery, Fukui-ken Saiseikai Hospital, Fukui, Japan
Soichi Enomoto
Affiliation:
Second Department of Internal Medicine, Faculty of Medical Sciences, University of Fukui Hospital, Fukui, Japan
Tami Yamamoto
Affiliation:
Department of Clinical Laboratory, Saiseikai Kumamoto Hospital, Kumamoto, Japan
Satoshi Daitoku
Affiliation:
Department of Radiological Technology, Faculty of Medical Technology, Niigata University of Health and Welfare, Niigata, Japan
Naomi Satou
Affiliation:
Department of Clinical Laboratory, Anamizu General Hospital, Ishikawa, Japan
Hiroshi Chiba
Affiliation:
Division of Clinical Laboratory, Morioka Municipal Hospital, Morioka, Japan
Yutaka Kai
Affiliation:
Department of Neurosurgery, Aso Medical Center, Kumamoto, Japan
Yoichiro Hashimoto
Affiliation:
Department of Neurology, Kumamoto City, Kumamoto, Japan
Tadanori Hamano
Affiliation:
Second Department of Internal Medicine, Faculty of Medical Sciences, University of Fukui Hospital, Fukui, Japan
Hidekazu Terasawa
Affiliation:
Department of Community Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
*
Corresponding author: Osamu Yamamura, Email: kapi@u-fukui.ac.jp
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Abstract

Objective:

This study aimed to examine the prevalence of deep vein thrombosis (DVT) among evacuees in Minamiaso, a village which was temporarily isolated after the earthquakes, from the acute to recovery phase after the 2016 Kumamoto Earthquakes (GLIDE no: EQ-2016-000033-JPN).

Methods:

This prospective study, which was approved by Fukui University Medical Research Ethics Committee (approval no. 20160024 and 20160089), enrolled 181 evacuees (73.9 ± 11.6 y) who participated in a series of 3 DVT screenings using portable ultrasound machines conducted over 19 mo. All participants completed a questionnaire before the screenings, and none of the participants attended all 3 screenings. Data analysis was performed using EZR version 1.41.

Results:

The DVT prevalence was 14.3% (79.4 ± 8.2 y) at first screening of evacuees staying in shelters and 18.5% (71.5 ± 13.1 y) and 12.2% (72.8 ± 10.9 y) in second and third screenings of evacuees staying in temporary housing, respectively. Multivariate analysis revealed age ≥75 y and alcohol consumption as independent risk factors in the entire cohort and in patients aged ≤74 y, respectively.

Conclusions:

A high DVT prevalence over a long time period of 19 mo was observed where survivors were temporarily isolated after the disaster.

Keywords

Kumamoto earthquakedeep vein thrombosissheltertemporary housingelderly
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 16 , Issue 5 , October 2022 , pp. 2036 - 2043
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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