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Published on: June 2, 2015
The incidence of cerebral venous thrombosis: a cross-sectional study
Jonathan M Coutinho1, Susanna M Zuurbier, Majid Aramideh
1Department of neurology, Academic Medical Centre, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. j.coutinho@amc.uva.nl
Insights
The incidence of adult cerebral venous thrombosis (CVT) is higher than previously thought, with an overall rate of 1.32 per 100,000 person-years. Higher CVT rates were observed in women aged 31-50.
Area of Science:
- Neurology
- Epidemiology
- Public Health
Background:
- Cerebral venous thrombosis (CVT) is a rare but serious condition.
- Accurate incidence data is crucial for understanding disease burden and resource allocation.
Purpose of the Study:
- To determine the incidence of adult cerebral venous thrombosis (CVT) in two Dutch provinces.
- To provide updated epidemiological data on CVT.
Main Methods:
- Retrospective cross-sectional study in 19 hospitals across two Dutch provinces (2008-2010).
- Case identification using hospital financial coding and ICD-9 codes, with manual medical record review.
- Population data obtained from the Dutch National Bureau of Statistics.
Main Results:
- Identified 94 confirmed cases of cerebral venous thrombosis (CVT) from 9,270 potential cases.
- Overall CVT incidence was 1.32 per 100,000 person-years (95% CI, 1.06-1.61).
- Incidence in women aged 31-50 years was significantly higher at 2.78 per 100,000 person-years (95% CI, 1.98-3.82).
Conclusions:
- The incidence of adult cerebral venous thrombosis (CVT) is likely underestimated by previous studies.
- Findings highlight a potentially higher public health burden of CVT than currently recognized.
Background And Purpose:
The purpose of this study was to determine the incidence of adult cerebral venous thrombosis.
Methods:
A retrospective cross-sectional study was conducted among all 19 hospitals located in 2 Dutch provinces serving 3.1 million people. Adult cerebral venous thrombosis cases diagnosed between January 1, 2008, and December 31, 2010, were identified using the Dutch financial coding system for hospital care and the International Classification of Diseases, 9th Revision. Medical records of potential patients were hand searched to identify cerebral venous thrombosis cases. The Dutch National Bureau for Statistics provided population figures of the 2 provinces during 2008 to 2010.
Results:
Among 9270 potential cases, we identified 147 patients diagnosed with cerebral venous thrombosis. Of these, 53 patients did not meet the inclusion criteria; therefore, 94 patients were included in the analysis. The overall incidence was 1.32 per 100 000 person-years (95% CI, 1.06-1.61). Among women between the ages of 31 and 50 years, the incidence was 2.78 (95% CI, 1.98-3.82).
Conclusions:
The incidence of cerebral venous thrombosis among adults is probably higher than previously believed.
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