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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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References

Goda, K, Campbell, G, Hulme, L, et al. The 2016 Kumamoto earthquakes: cascading geological hazards and compounding risks. Front Built Environ. 2016;2:1-23.Google Scholar
Amazon Services International, Inc. Minamiaso village. 2016 Kumamoto earthquake Minamiaso Village disaster record magazine. 2017. (in Japanese). https://iss.ndl.go.jp/books/R100000002-I028472518-00. Accessed September 22, 2021.Google Scholar
Minamiaso Village Community Support Center. Minamiaso Village Community Support Center Newsletter No. 4 (March 2018). Minamiaso Village Council of Social Welfare. 2018. https://www.asoyamabiko.jp/up_file/2007/td05_file1_01143718.pdf. Accessed October 1, 2019 (in Japanese).Google Scholar
Kario, K. Disaster hypertension: its characteristics, mechanism, and management. Circ J. 2012;76:553-562.CrossRefGoogle ScholarPubMed
Hokimoto, S. Risk of cardiovascular disease after earthquake disaster. Circ J. 2018;82:650-651.CrossRefGoogle ScholarPubMed
Onishi, H, Yamamura, O, Kosugi, I, et al. Comparison of development of deep vein thrombosis detection rates between groups of people in the general shelters and welfare-type shelters in the Kumamoto earthquake area. J Natl Inst Public Health. 2017;66:620-629 (in Japanese with English abstract).Google Scholar
Ueda, S, Hanzawa, K, Shibata, M. One-year overview of deep vein thrombosis prevalence in the Ishinomaki area since the Great east Japan earthquake. Ann Vasc Dis. 2014;7:365-368.CrossRefGoogle ScholarPubMed
Shibata, M, Chiba, H, Sasaki, K, et al. The utility of on-site ultrasound screening in population at high risk for deep venous thrombosis in temporary housing after the great East Japan Earthquake. J Clin Ultrasound. 2017;45:566-574.Google ScholarPubMed
Sato, K, Sakamoto, K, Hashimoto, Y, et al. Risk factors and prevalence of deep vein thrombosis after the 2016 Kumamoto earthquakes. Circ J. 2019;83(6):1342-1348 CrossRefGoogle ScholarPubMed
Konstantinides, SV, Torbicki, A, Agnelli, G, et al. 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J. 2014;35:3033-3069.Google ScholarPubMed
American Institute of Ultrasound in Medicine, and American College of Radiology. Practice guideline for the performance of peripheral venous ultrasound examinations. J Ultrasound Med. 2011;30:143-150.Google Scholar
Murphy, TP, Cronan, JJ. Evolution of deep venous thrombosis: a prospective evaluation with US. Radiology. 1990;177:543-548.CrossRefGoogle ScholarPubMed
Ohgi, S, Ito, K, Tanaka, K, et al. Echogenic types of venous thrombi in the common femoral vein by ultrasonic B-mode imaging. Vasc Surg. 1991;25:253-258.CrossRefGoogle Scholar
Meissner, MH, Moneta, G, Burnand, K, et al. The hemodynamics and diagnosis of venous disease. J Vasc Surg. 2007;46:4S-24S.Google ScholarPubMed
Ohgi, S, Tachibana, M, Ikebuchi, M, et al. Pulmonary embolism in patients with isolated soleal vein thrombosis. Angiology. 1998;49:759-764.Google ScholarPubMed
Zierler, BK. Ultrasonography and diagnosis of venous thromboembolism. Circulation. 2004;109:9-14.Google ScholarPubMed
Yamamura, O, Tsubouchi, H, Onishi, H, et al. Comparison of DVT detection rate and the regional differences in the disaster affected areas - Wajima, Minami Sanriku-cho, Aso and South-Asomura. Proceedings of 21st Annual Meetings of Japan Association for Disaster Medicine. Jpn J Disaster Med. 2017;21(3):526 (in Japanese).Google Scholar
Uemura, J. About the role that Aso Tateno Hospital takes. Aso community medicine design adjustment meeting. 2019. https://www.pref.kumamoto.jp/uploaded/attachment/62565.pdf. Accessed October 1, 2019 (in Japanese).Google Scholar
Minamiaso Village Handbook. Document Section, Minamiaso Village. 2017. https://www.vill.minamiaso.lg.jp/kiji003695/3_695_2_5733.pdf. Accessed July 1, 2021 (in Japanese).Google Scholar
Minamiaso Village Handbook. Minamiaso Village. Chapter 2, Evaluation and consideration of the first phase plan and the second phase plan clarification of health issues. https://www.vill.minamiaso.lg.jp/kiji003814/3_814_5_11755_46316_misc.pdf. Accessed July 1, 2021 (in Japanese).Google Scholar
Kanda, Y. Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant. 2013;48:452-458 Google ScholarPubMed
JCS Joint Working Group. Guidelines for the diagnosis, treatment and prevention of pulmonary thromboembolism and deep vein thrombosis (JCS 2009). Circ J. 2011;75:1258-1281.Google Scholar
Yoshimura, E, Ishikawa-Takata, K, Murakami, H, et al. Relationships between social factors and physical activity among elderly survivors of the Great East Japan earthquake: a cross-sectional study. BMC Geriatr. 2016;16:30.Google ScholarPubMed
Miyanaga, M, Fujii, M, Sakai, H, et al. Effects of a walking program using a physical activity monitoring device on elderly requiring support or low-level care. Jpn J Phys Fitness Sports Med. 2015;64(2)233-242 (in Japanese with English abstract)Google Scholar
Sonoda, S. Immobilization and disuse syndrome. Jpn J Rehabil Med. 2015;52:265-271 (in Japanese with English abstract).CrossRefGoogle Scholar
Maeda, K, Shamoto, H, Furuya, S. Feeding support team for frail. disabled, or elderly people. Tohoku J Exp Med. 2017;242:259-261.CrossRefGoogle ScholarPubMed
Ito, K, Tomata, Y, Kogure, M, et al. Housing type after the Great East Japan Earthquake and loss of motor function in elderly victims: a prospective observational study. BMJ Open. 2016;6:e012760. doi: 10.1136/bmjopen-2016-012760 CrossRefGoogle ScholarPubMed
Tsuji, T, Sasaki, Y, Matsuyama, Y, et al. Reducing depressive symptoms after the Great East Japan Earthquake in older survivors through group exercise participation and regular walking: a prospective observational study. BMJ Open. 2017;7:e013706. doi: 10.1136/bmjopen-2016-013706 Google ScholarPubMed
Malone, PC. Air travel and risk of venous thromboembolism: passengers should reduce consumption of alcohol on flights. BMJ. 2001;322:1183-1184.Google ScholarPubMed
Kumamoto Prefecture. Kumamoto Prefecture alcohol Health Hazard Countermeasure Promotion Plan. https://www.pref.kumamoto.jp/uploaded/attachment/19438.pdf. Accessed July 1, 2021 (in Japanese).Google Scholar
Inoue, K. Venous thromboembolism in earthquake victims. Disaster Manag Response. 2006;4:25-27.CrossRefGoogle ScholarPubMed
Watanabe, H, Kodama, M, Tanabe, N, et al. Impact of earthquakes on risk for pulmonary embolism. Int J Cardiol. 2008;129:152-154.CrossRefGoogle ScholarPubMed
Shibata, M, Hanzawa, K, Ueda, S, et al. Deep venous thrombosis among disaster shelter inhabitants following the March 2011 earthquake and tsunami in Japan: a descriptive study. Phlebology. 2014;29:257-266.CrossRefGoogle ScholarPubMed
Lohr, JM, Kerr, TM, Lutter, KS, et al. Lower extremity calf thrombosis: to treat or not to treat? J Vasc Surg. 1991;14:618-623.Google ScholarPubMed
Ro, A, Tanifuji, T, Kageyama, N, et al. A histopathological study of fifty-one autopsy cases of outpatients with massive pulmonary thromboembolism. J Jpn Coll Angio. 2003;43:627-632 (in Japanese with English abstract).Google Scholar
Tsubouchi, H, Yamamura, O, Hirobe, H, et al. Investigation of ultrasonic properties of fresh and organized thrombi, which suggest a history of recurrent deep vein thrombosis, detected in the chronic phase after an earthquake. Proceedings of 38th Annual Meetings of Japan Academy of Neurosonology. Neurosonol. 2019;32:63-86. https://www.jstage.jst.go.jp/article/neurosonology/32/2/32_63/_pdf/-char/ja. Accessed October 1, 2019 (English abstract).Google Scholar
Hull, RD, Raskob, GE, Brant, RF, et al. Relation between the time to achieve the lower limit of the APTT therapeutic range and recurrent venous thromboembolism during heparin treatment for deep vein thrombosis. Arch Intern Med. 1997;157(22):2562-2568.Google ScholarPubMed
Meissner, MH. The clinical presentation and natural history of acute deep venous thrombosis. In: Gloviczki, P, Dalsing, MC, Moneta, GL, et al. eds. Handbook of Venous Disorders: Guidelines of the American Venous Forum. 3rd ed. Boca Raton: CRC Press; 2009:195-220 Google Scholar
Onodera, K, Saito, M. The factors of starting participation of elderly men in preventive care programs and continuing their participation in autonomous community. Bull School Health Sci Tohoku Univ. 2008;17(2)107-116. https://tohoku.repo.nii.ac.jp/?action=repository_action_common_download&item_id=21531&item_no=1&attribute_id=18&file_no=1. Accessed October 15, 2020 (in Japanese with English abstract).Google Scholar
World Health Organization. WHO guidance on research methods for health and disaster risk management. https://extranet.who.int/kobe_centre/en/project-details/GUIDANCE_ResearchMethods_HealthEDRM. September 2020. Accessed October 15, 2020.Google Scholar
Japanese Society of Psychiatry and Neurology. Emergency statement on the investigation and research practices concerning the Great East Japan Earthquake. https://www.jspn.or.jp/modules/english/index.php?content_id=49. May 21, 2011. Accessed October 15, 2020.Google Scholar