住院患者上肢静脉血栓形成:一项前性流行病学研究
Olivier Espitia1, Audry Tissot2, Annaïg Miossec2
1Nantes Université, CHU Nantes, Department of Internal and Vascular Medicine, F-44000 Nantes, France; Nantes Université, l'institut du thorax, INSERM UMR1087/CNRS UMR 6291, Team III Vascular & Pulmonary Diseases, F-44000 Nantes, France.
Thrombosis research
|December 13, 2023
概括
上肢静脉血栓塞 (UEVT) 影响五分之一的住院患者,通常与静脉导管和感染有关. 靠近的UEVT很少见,前臂血栓形成是最常见的.
科学领域:
- 血管医学 血管医学
- 血栓形成研究研究
- 医院流行病学 医院流行病学
背景情况:
- 上肢静脉血栓塞 (UEVT) 的发病率上升,与内静脉器械的使用增加有关.
- 在住院患者群体中,UEVT是一个重大问题.
- 对UEVT流行病学和住院患者的风险因素的理解有限.
研究的目的:
- 确定UEVT在住院患者中的患病率.
- 根据它们在上肢的解剖位置来研究血栓形成的危险因素.
主要方法:
- 在一所大学医院接受治疗的400名患者的前性评估.
- 临床评估和多普勒超声波 (DUS) 用于上肢评估.
- 多变量分析以确定UEVT的独立风险因素.
主要成果:
- 观察到UEVT的患病率为22.8%,前臂血栓是最常见的类型 (56.0%).
- 静脉导管存在 (外周静脉导管和中央静脉导管) 和因感染住院治疗与UEVT有很强的关联.
- 特定的导管类型与血栓的位置有关:中心静脉导管与近端UEVT,外围静脉导管与前臂UEVT.
结论:
- 在五分之一的住院患者中,UEVT是普遍存在的,近端血栓是不常见的.
- 任何静脉导管的存在和因感染而入院是UEVT的关键风险因素.
- 研究结果强调了需要警和潜在的预防策略UEVT在住院患者.
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