Thromboembolic Events in a Socio-Economically Disadvantaged Population with COVID-19 Admitted to a Medicalized Hotel

Karen Lizzette Ramírez-Cervantes1,2, Consuelo Huerta-Álvarez3, Manuel Quintana-Díaz2,4

  • 1Department of Disease Prevention and Health Promotion, Spanish Association Against Cancer, 28040 Madrid, Spain.

Insights

Social determinants of health were not linked to COVID-19 thrombosis in a Madrid study. History of venous thromboembolism and smoking were associated with thrombosis risk.

Area of Science:

  • Medical Science
  • Public Health
  • Epidemiology

Background:

  • Limited research exists on social determinants of health (SDOH) in COVID-19-related thrombosis.
  • This study investigated thrombosis in socially disadvantaged populations with COVID-19.

Purpose of the Study:

  • To explore the association between SDOH and thrombosis in COVID-19 patients.
  • To identify risk factors for thrombosis among migrant and Spanish populations during the COVID-19 pandemic.

Main Methods:

  • A cohort of 383 patients (migrant and Spanish) admitted to a medicalized hotel in Madrid were studied.
  • Demographic, medical history, and socio-economic data (income, education, living conditions) were collected.
  • Thrombotic events were recorded and analyzed in relation to patient characteristics.

Main Results:

  • Fourteen cases (3.6%) of thrombosis were reported.
  • Thrombosis was more frequent in Spanish individuals compared to migrants (OR 5.3).
  • History of venous thromboembolism (OR 8.1) and current smoking (OR 4.7) were significantly associated with thrombosis. Low income and education levels were not associated.

Conclusions:

  • The studied social determinants of health were not directly associated with COVID-19-related thrombosis.
  • Further research is needed to understand the complex interplay of socio-economic factors and adverse outcomes like thrombosis in COVID-19 patients.

Related Concept Videos

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
40
Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
42
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
21
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
31
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
33
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.2K