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Thrombotic and Cardiovascular Events and Treatment Patterns Among Patients Hospitalized with COVID-19 in Japan: An
Naoki Terasaka1, Yukako Matsuo2, Hirohide Kataoka2
1Medical Department, Bristol Myers Squibb K.K., Tokyo, Japan. Naoki.Terasaka@bms.com.
Insights
In Japan, 9% of hospitalized coronavirus disease 2019 (COVID-19) patients developed thrombotic diseases, with arterial events being most common. Antithrombotic medication did not fully prevent these serious complications.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Hematology
Background:
- Limited data exists on thrombotic/cardiovascular disease prevalence in Japan for COVID-19 patients.
- Treatment patterns for these patients in Japan are not well-documented.
Purpose of the Study:
- To describe the characteristics of patients hospitalized with COVID-19 in Japan.
- To investigate the prevalence of thrombotic disease and treatment patterns in this population.
Main Methods:
- Retrospective analysis of the Japan Medical Data Vision database.
- Inclusion of patients hospitalized for COVID-19 between January 1 and September 30, 2020.
- Involved data from 416 acute care hospitals.
Main Results:
- Out of 9282 eligible patients, 832 (9%) experienced thrombotic disease (myocardial infarction, ischemic stroke, DVT, PE).
- A significant proportion experienced multiple thrombotic events (1.8% had two, 0.3% had three or four).
- Arterial thrombotic events constituted 77% of all thrombotic events, and 21.2% of patients on antithrombotic medication still suffered thrombotic complications.
Conclusions:
- COVID-19 patients are susceptible to thrombotic complications across all blood vessels.
- Optimizing antithrombotic medication strategies is essential for improving patient prognosis and preventing thrombotic events.
Introduction:
Limited data are available regarding the prevalence of thrombotic/cardiovascular disease and treatment patterns for patients with coronavirus disease 2019 (COVID-19) in Japan. In this study we describe patients hospitalized for COVID-19 in Japan.
Methods:
This retrospective database study analyzed the Japan Medical Data Vision database (416 acute care hospitals) for patients hospitalized for COVID-19 during the identification period from 1 January 1 to 30 September 2020.
Results:
Among 9282 eligible patients, 832 (9%) had developed thrombotic disease including myocardial infarction, ischemic stroke, deep vein thromboembolism and pulmonary embolism. Intriguingly, 171(1.8%) had two thrombotic events and 25 (0.3%) had three or four thrombotic events at the same time. The data also showed that arterial thrombotic events accounted for 77% of total thrombotic events. Anticoagulant and/or antiplatelet medication was provided to 3312 patients. Even with antithrombotic medication, 21.2% of patients suffered from thrombotic diseases.
Conclusions:
Patients with COVID-19 could experience thrombotic complications in every blood vessel. Further optimization of medication is crucial for preventing thrombotic complications and improving prognosis.
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