后COVID静脉血栓瘤的流行病学和诱发因素:简要的综述
Giuseppe Lippi1, Emmanuel J Favaloro2,3,4
1Section of Clinical Biochemistry and School of Medicine, University of Verona, Verona, Italy.
Seminars in thrombosis and hemostasis
|June 16, 2023
概括
住院患有COVID-19的患者在出院后面临静脉血栓栓塞的风险增加,特别是长期住院或重症监护的老年男性. 扩展性血栓预防可能有利于高风险个体.
科学领域:
- 内部医学 内部医学
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
背景情况:
- 2019年长期冠状病毒病 (COVID-19) 是一种复杂的综合征,在急性感染后症状持续.
- 静脉血栓栓塞 (VTE) 是住院COVID-19患者的一种显著的出院后并发症.
研究的目的:
- 在COVID-19住院后的患者中识别VTE的风险因素.
- 在COVID-19后期为管理VTE风险的策略提供信息.
主要方法:
- 住院COVID-19患者的回顾性分析.
- 确定VTE的人口,临床和治疗相关的风险因素.
主要成果:
- 退院后,静脉瘤风险仍然很高,特别是在老年男性,住院时间较长,入住重症监护室 (ICU) 的人群中.
- 缺乏血栓预防和持续的前血栓状况增加了静脉动脉突发症的风险.
- 机械通风和积极的治疗与更高的VTE发病率相关.
结论:
- 高风险的COVID-19患者需要更密切地监测出院后的血栓形成.
- 延长的血栓预防和/或抗血小板治疗可能有助于预防易受感染的个体的VTE.
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