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.

Cardiology and Therapy
|April 15, 2022
PubMed

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.
Abstract

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