一个评分系统来确定导致复发性肺血栓栓塞的危险因素
Mutlu Onur Gucsav1, Dursun Tatar2
1Department of Chest Diseases, University of Health Sciences, Izmir Tepecik Training and Research Hospital, Izmir, Turkey.
Archives of Iranian medicine
|February 1, 2024
概括
复发性肺血栓栓塞 (PTE) 与糖尿病,高血压和肥胖症有关. 一个新的评分系统有助于识别高风险患者,那些被标记为高风险的患者患病复发的可能性增加了3.47倍.
科学领域:
- 心脏病学 心脏病学
- 肺部医学 肺部医学
- 血栓形成研究研究
背景情况:
- 肺血栓塞栓症 (PTE) 复发风险最初最高,但可能会持续.
- 风险因素和患者遵守影响长期复发率.
- 识别患有复发性PTE高风险的个体对于管理至关重要.
研究的目的:
- 为了确定复发性PTE的危险因素.
- 开发一个用户友好的评分系统,用于预测PTE复发风险.
主要方法:
- 对1452名急性PTE患者 (2014-2019) 的回顾性分析.
- 收集的人口统计,并发症和临床数据.
- 评估了参数与PTE复发之间的关联.
主要成果:
- 糖尿病,高血压,肥胖和遗传风险因素与复发有关.
- 开发的评分系统显示了66.9%的灵敏度和63.2%的特异性.
- 通过得分识别的高风险患者的复发风险增加了3.47倍.
结论:
- 患有糖尿病,高血压,肥胖和遗传风险因素的患者需要密切监测PTE复发.
- 开发的评分系统提供了一个有价值的,易于使用的工具,用于定量评估复发性PTE的风险.
相关概念视频
Pneumothorax-II
150
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
150
Relative Risk
171
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
171
Anticoagulant Drugs: Low-Molecular-Weight Heparins
698
Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
698
Assessment of the Cardiovascular System III: Palpation
342
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
342
Disorders of Hemostasis
915
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
915
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
128
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
128


