静脉血栓塞栓症 (VTE) 在脚扭伤后发展. 在膝关节关节整形术后与VTE进行比较
Javier Gutiérrez-Guisado1, Alejo Erice Calvo-Sotelo1, Luis Hernández-Blasco2
1Department of Internal Medicine, Hospital ASEPEYO Coslada, Universidad Francisco de Vitoria, Madrid, Spain.
Thrombosis research
|April 4, 2024
概括
脚扭伤后静脉血栓栓塞 (VTE) 患者比膝盖手术患者年轻,接受的预防措施较少. 静脉瘤严重程度相似,突出了较低风险伤害的治疗不足风险.
科学领域:
- 医学研究 医学研究
- 临床流行病学 临床流行病学
- 血栓形成研究研究
背景情况:
- 静脉血栓栓塞 (VTE) 是创伤和手术后的一个严重并发症.
- 虽然大骨科手术后的VTE风险是已知的,但关于脚扭伤等非重大创伤的数据有限.
- 这项研究解决了扭病患者VTE风险和严重程度的知识差距.
研究的目的:
- 为了比较临床特征,VTE预防和VTE在脚扭伤患者和选择性膝关节关节整形患者的结果.
- 为了评估传统上认为风险较低的人群中VTE的风险和严重程度 (脚扭伤).
- 为了评估VTE预防和结果的有效性,使用TRiP ((cast) 风险分层分数来评估风险分层分层.
主要方法:
- 分析来自RIETE注册表的数据.
- 在脚扭伤后患有VTE的患者与选择性膝关节关节整形术之间的比较.
- 评估VTE预防率,复发,出血和死亡率.
主要成果:
- 脚扭伤患者 (n=459) 较年轻,女性较少,并发病情况较少,与膝关节关节整形术患者 (n=791) 相比,接受静脉瘤预防的患者较少 (27%对93%) .
- 两组之间在VTE复发率 (RR: 1.65) 或死亡率 (RR: 1.12) 上没有发现显著差异.
- 脚扭伤后患有VTE的患者有明显较低的重大出血率 (RR:0.39).
结论:
- 患有VTE的关节扭伤患者在预防方面往往没有得到足够的治疗.
- 脚扭伤患者的VTE严重程度与选择性膝关节手术后出现的情况相似.
- 对于患有脚扭伤等非重大创伤的患者来说,需要量身定制的VTE管理方法.
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