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The risk of thrombotic events in patients with liver cirrhosis
Irina Gîrleanu1, Anca Trifan, Camelia Cojocariu
1University of Medicine and Pharmacy Grigore T Popa Iasi, Faculty of Medicine.
Insights
The incidence of thrombotic events in liver cirrhosis patients was 2.5%. Low serum albumin and high MELD scores are key predictors for developing these dangerous blood clots.
Area of Science:
- Hepatology
- Vascular Medicine
- Clinical Research
Background:
- Liver cirrhosis significantly increases the risk of thrombotic events.
- Understanding these risks is crucial for patient management and prognosis.
Purpose of the Study:
- To determine the incidence of thrombotic events in liver cirrhosis patients.
- To identify independent risk factors associated with these events.
Main Methods:
- A cohort of 3108 liver cirrhosis patients was analyzed.
- Patients were categorized into groups with and without thrombotic events.
- Multivariate analysis identified significant predictors.
Main Results:
- The overall incidence of thrombotic events was 2.5% (DVT 0.99%, PVT 1.51%).
- Lower serum albumin levels and higher MELD scores were associated with thrombotic events.
- Albumin < 3mg/dl and MELD score >13 were independent predictors.
Conclusions:
- Thrombotic events occur in 2.5% of liver cirrhosis patients.
- Low serum albumin and high MELD scores are significant predictors.
- These findings aid in risk stratification and clinical decision-making.
Aim:
To evaluate the incidence and risk factors for thrombotic events (deep vein thrombosis and portal vein thrombosis) in patients with liver cirrhosis.
Material And Methods:
we studied patients diagnosed with liver cirrhosis admitted in our department between January 2010-December 2011, which were divided in two groups: liver cirrhosis with thrombotic events and without thrombotic events.
Results:
we included 3108 patients, the incidence of deep vein thrombosis was 0.99% and portal vein thrombosis was 1.51%, the incidence of all thrombotic events was 2.5%. In the univariate analysis serum albumin was significantly lower in cases than controls, and MELD score, mean platelet volume were higher in cases than controls. The presence of sepsis and diabetes mellitus were demonstrated like risk factors by the univariate analysis. In multivariate analysis, albumin level< 3mg/dl (HR=1.65, CI 1.10-2.51, p=0.018) and MELD score >13 (HR=2.94, CI 1.61-5.47, p=0.001) remained independently predictive of thrombotic events.
Conclusions:
The incidence of thrombotic events in patients with liver cirrhosis was 2.5%. Low serum albumin and high MELD score could predict the development of thrombotic events in patients with liver cirrhosis.
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