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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Increased deep vein thrombosis cases during the COVID-19 quarantine
Evren Karaali1, Osman Çiloğlu1, Orhan Saim Demirtürk2
1Department of Orthopedics and Traumatology, University of Health Science Adana City Training and Research Hospital, Adana, Turkey.
Insights
COVID-19 quarantine significantly increased deep vein thrombosis (DVT) rates, with more cases and pulmonary embolism complications observed. Preventive measures like exercise and medication are recommended to combat immobility-related DVT during confinement.
Area of Science:
- Medical Research
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic led to widespread lockdowns and quarantine measures.
- Immobility during quarantine is a known risk factor for venous thromboembolism.
- Understanding the impact of COVID-19 confinement on DVT incidence is crucial for public health.
Purpose of the Study:
- To compare the incidence of deep vein thrombosis (DVT) during the COVID-19 quarantine period with the preceding year.
- To assess the association between COVID-19 confinement and DVT rates.
Main Methods:
- A retrospective, single-center study design was employed.
- Hospital admission records from April-May 2019 and April-May 2020 were screened.
- The number of DVT cases in both periods was recorded and compared.
Main Results:
- DVT incidence rose from 0.017% in 2019 to 0.084% in 2020, despite fewer hospital admissions in 2020.
- Symptomatic pulmonary embolism cases secondary to DVT increased from two in 2019 to seven in 2020.
- One DVT-related fatality occurred in 2020, and a history of DVT was noted in several patients during confinement.
Conclusions:
- COVID-19 confinement is associated with elevated rates of deep vein thrombosis.
- Preventive strategies, including exercise and prophylactic medication, should be implemented to mitigate immobility-related DVT risks during quarantine.
- Further research is warranted to confirm these findings and optimize preventative protocols.
Objective:
The aim of this study was to compare the number of deep vein thrombosis (DVT) cases during the quarantine period for COVID-19 to that of the last year.
Methods:
This study was conducted as a single-center and retrospective study. All hospital admissions during April 2020 and May 2020 were screened from the hospital records, and DVT cases were recorded. Likewise, all hospital admissions during April 2019 and May 2019 were screened, and DVT cases were noted. DVT cases of both years were compared.
Results:
Among 480931 patients admitted to our hospital in April 2019 and May 2019, DVT was detected in 82 patients (0.017%) (47 males, 35 females) with a mean age of 56.99 ± 9.1 years (ranges 39 to 79 years). Besides, among 145101 patients admitted to our hospital in April 2020 and May 2020, DVT was detected in 123 patients (0.084%) (51 males, 72 females) with a mean age of 58.64 ± 8.9 years (ranges 40 to 83 years). Despite the decrease in the total number of patients admitted to the hospital, there was a significant increase in the number of DVT patients. Interestingly, there were only two symptomatic pulmonary-embolism cases in the 2019 period, whereas there were seven symptomatic pulmonary embolisms secondary to DVT in the 2020 period. Unfortunately, one patient died due to pulmonary embolism secondary to DVT in 2020. The previous history of DVT was remarkable in patients admitted during the COVID-19 confinement.
Conclusion:
In conclusion, COVID-19 confinement seems to be associated with increased rates of DVT. Strict preventive measures such as exercise training or prophylactic drug use should be considered to prevent immobility-related DVT during the COVID-19 quarantine.
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