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静脈性血栓塞栓症の危険因子について
Frederick A Anderson1, Frederick A Spencer
1Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts, USA. Fred.Anderson@umassmed.edu
Circulation
|June 20, 2003
まとめ
静脈血栓栓塞栓症 (VTE) のリスクは,手術の患者だけでなく,医療の患者にも認められています. 多様な危険因子を特定することは,高リスクの個体における効果的なVTE予防に不可欠です.
科学分野:
- 内科内科は,内科の内科である.
- 血管医学 血管医学とは
- エピデミオロジー エピデミオロジー
背景:
- 歴史的に,静脈血栓塞栓症 (VTE) は,主に大手術や末期疾患の合併症とみなされていました.
- 最近の証拠によると,入院した医療従事者は,大手術を受けた患者と同程度のVTEリスクに直面している.
- 症状のあるVTE症例の有意な割合は,最近大きな病気を患っていない入院していない個人に発生します.
研究 の 目的:
- VTEのリスクのある人口についての理解が拡大していることを強調するためです.
- 医師がVTEの危険因子を評価する必要性を強調する.
- VTE予防から恩恵を受ける可能性のある高リスク患者を特定する.
主な方法:
- 入院医療患者を含む最近の臨床試験のレビュー.
- VTEの発生に関する疫学研究の分析.
- VTEの既定および新興の危険因子の検討.
主要な成果:
- 病院に入院した医療従事者の場合,大手術後の患者と同様のVTEリスクがあります.
- 症状のあるVTEイベントの25%から50%は,入院または最近の重大疾患の外で発生します.
- 大手外科手術,トラウマ,不動性,および特定の疾患などの特定の要因は,VTEのリスクを高めます.
結論:
- VTEのリスクの範囲は,外科患者の範囲を超えて,幅広い医療状態を含みます.
- 個々の危険因子の包括的な評価は,適切なVTE予防を決定するために不可欠です.
- リスク要因の相互作用を理解することは,VTE予防戦略を最適化するための鍵です.
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