活跃疾病期间的静脉血栓塞栓症和炎症性肠病中的缓解:一个队列研究
Matthew J Grainge1, Joe West, Timothy R Card
1Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK. matthew.grainge@nottingham.ac.uk
Lancet (London, England)
|February 13, 2010
概括
患有炎症性肠病 (IBD) 的患者面临着明显更高的静脉血栓塞栓症 (VTE) 风险,特别是在疾病爆发期间. 这强调了在IBD患者中需要进行VTE预防的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 血管医学 血管医学
- 流行病学 流行病学
背景情况:
- 炎症性肠病 (IBD) 与静脉血栓塞栓症 (VTE) 的风险增加有关.
- 静脉瘤风险可能因IBD活动阶段而异.
研究的目的:
- 为了前性量化IBD患者的VTE风险.
- 评估VTE风险在IBD的不同活动阶段是如何不同的.
主要方法:
- 一项使用通用实践研究数据库的队列研究.
- 将IBD患者与对照组匹配,并使用考克斯回归分析与时间变化的共变量.
- 将疾病爆发定义为120天后的皮质类固醇处方.
主要成果:
- 与对照组相比,IBD患者的VTE风险增加了3.4倍.
- 在IBD爆发期间,静脉瘤风险显著增加 (HR 8.4).
- 在爆发期间VTE的相对风险在非住院期间比住院期间更高.
结论:
- 该研究表明,IBD患者的静脉瘤风险明显增加,特别是在爆发期间.
- 在IBD患者中进行VTE的主要预防试验是有必要的,以探索预防策略.
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