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Deep vein thrombosis and pulmonary embolism in the Chinese population

P L Nandi1, W S Li, R Leung

  • 1Department of Surgery, The University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, Hong Kong.

Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|February 7, 2002
PubMed

Insights

Deep vein thrombosis (DVT) and pulmonary embolism (PE) are increasing in Chinese patients, contrary to past beliefs. Prophylaxis is recommended for high-risk Chinese individuals to prevent these serious conditions.

Area of Science:

  • Vascular Medicine
  • Public Health
  • Epidemiology

Background:

  • Deep vein thrombosis (DVT) and pulmonary embolism (PE) are significant health concerns in Western populations.
  • A common misconception suggests DVT is rare in Asian populations, including the Chinese.
  • Emerging evidence indicates a rising incidence of venous thromboembolism (VTE) in Chinese patients.

Purpose of the Study:

  • To review the current literature on the incidence of DVT and PE in Chinese patients.
  • To evaluate the effectiveness of prophylaxis in reducing VTE events in this demographic.
  • To inform clinical practice regarding VTE prevention in at-risk Chinese populations.

Main Methods:

  • Literature review of studies on venous thromboembolism in Chinese patients.
  • Analysis of reported incidence rates of DVT and PE.
  • Evaluation of prophylaxis efficacy data from relevant clinical trials and observational studies.

Main Results:

  • The incidence of DVT and PE appears to be increasing among Chinese patients.
  • Prophylaxis has demonstrated significant efficacy, reducing DVT incidence by 66% and PE by 50% in studies.
  • High-risk Chinese patients benefit substantially from prophylactic measures.

Conclusions:

  • The belief that DVT is rare in Chinese populations is being challenged by increasing incidence rates.
  • Prophylaxis is a crucial intervention for preventing DVT and PE in high-risk Chinese patients.
  • Further research and clinical attention are warranted for VTE management in this growing patient group.

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