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Venous thromboembolism: A problem in the Indian/Asian population?
Sunil Agarwal1, Arvind Dhas Lee, Ravish Sanghi Raju
1Department of General Surgery Unit II and Vascular Surgery, Christian Medical College, Vellore-632 004, Tamil Nadu, India.
Summary
Venous thromboembolism (VTE) is a serious condition often missed in India, with rates similar to Western countries. Early prevention through thromboprophylaxis is key to reducing deaths and readmissions.
Area of Science:
- Internal Medicine
- Cardiology
- Vascular Medicine
Background:
- Venous thromboembolism (VTE) is a significant, life-threatening condition that is frequently underdiagnosed and undertreated.
- Public awareness of VTE in India is notably low, despite comparable incidence rates to Western nations.
- Hospitalized patients face a high risk of VTE, often presenting asymptomatically and contributing to preventable deaths and readmissions.
Purpose of the Study:
- To highlight the underrecognized burden of VTE in India.
- To emphasize the effectiveness and cost-efficiency of VTE prevention strategies.
- To underscore the importance of increasing awareness and improving diagnosis and treatment of VTE.
Main Methods:
- This study is a review of existing literature and clinical data on VTE incidence, diagnosis, and treatment, particularly focusing on Asian and Indian populations.
- Comparative analysis of VTE rates between Asian/Indian and Western populations.
- Evaluation of the efficacy and safety of thromboprophylaxis.
Main Results:
- The incidence of VTE in India and Asia is comparable to that in Western countries, challenging previous assumptions.
- VTE is a leading cause of preventable death and unplanned hospital readmissions, often occurring silently in hospitalized patients.
- Thromboprophylaxis significantly reduces VTE incidence with no increase in major bleeding events.
Conclusions:
- VTE prevention through thromboprophylaxis is highly effective, safe, and more economical than treatment.
- There is an urgent need to improve VTE awareness, diagnosis, and management in India.
- Implementing preventative measures can significantly reduce mortality and morbidity associated with VTE.
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