在治疗妇科恶性瘤的住院治疗后进行药理性血栓预防的考虑因素
Lindsey A McAlarnen1, Christina Small2, Lauren Tostrud1
1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical College of Wisconsin, Milwaukee, WI.
Brachytherapy
|July 2, 2023
概括
静脉血栓塞栓症 (VTE) 在手臂治疗后很常见. 这项研究发现,血栓预防可以降低接受支臂治疗的患者的VTE风险,强调需要明确的指导方针.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 放射疗法是一种放射治疗.
背景情况:
- 支臂疗法辐射与出血和静脉血栓栓塞 (VTE) 的风险有关.
- 目前,在接受支臂治疗的患者中,没有针对VTE的特定查或管理指南.
- 这突显了这种独特人群的患者护理的关键差距.
研究的目的:
- 为了确定在接受支臂治疗的患者中VTE的发病率.
- 审查与VTE管理相关的现有抗凝指南.
- 倡导制定未来的指导方针,用于布拉基治疗患者的血栓预防.
主要方法:
- 一项回顾性,单一机构研究分析了2012年至2022年期间接受治疗的2组患者.
- 第1队列包括87名接受支臂疗法并入院治疗的患者.
- 队列2包括66名患者,评估了退院后的VTE或出血风险; 计算了Caprini风险得分.
主要成果:
- 在87名患者中,25%的患者被诊断为VTE.
- 在出院后的队列中,34.8%的人接受了血栓预防治疗,65.2%的人没有.
- 在接受血栓预防治疗的患者中,没有人在90天内发展出静脉瘤,而未接受预防治疗的患者中,这一比例为7% (p=0.37).
结论:
- 静脉血栓塞栓症 (VTE) 是一个常见的并发症,在接受手腕治疗的患者.
- 这些发现表明,血栓预防可能有助于降低VTE风险.
- 需要来自专业组织的共识建议,以解决这一患者群体的血栓预防.
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