在恶性瘤中分析静脉血栓塞栓症风险:血栓凝血图和凝血因子研究研究
Wang Xue-Xing1, Chu Jie2, Chen Chun-Mei3
1Department of Oncology, Anning First People's Hospital Affiliated to Kunming University of Science and Technology, Kunming, 650300, China.
Biomarkers in medicine
|July 23, 2024
概括
这项研究研究了血栓凝结学 (TEG) 和凝血功能,以预测癌症患者的静脉血栓栓塞 (VTE). D-二分体被证明是关键预测因素,而TEG参数没有显著的预测能力.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 静脉血栓塞栓症 (VTE) 是住院癌症患者的一种严重并发症.
- 准确预测VTE风险对于及时干预和改善患者结果至关重要.
研究的目的:
- 为了评估结血分泌显微镜 (TEG) 结合静脉血栓功能测试在住院癌症患者的预测价值.
- 确定与该人群中VTE发展相关的独立风险因素.
主要方法:
- 追溯性临床研究涉及215名住院癌症患者.
- 对D-二聚体,抗血III (ATIII) 和TEG参数 (最大幅度,凝血指数) 的分析.
- 多变量分析以确定VTE的独立预测因子.
主要成果:
- 在18.14%的患者中诊断出VTE.
- 在VTE阳性和VTE阴性组之间观察到D-二元体,ATIII和TEG参数的显著差异 (p <0.05).
- 瘤阶段,感染,吸烟史和D-二次体独立地与VTE相关. 预测模型显示AUC为0.809,单独D-二次体的AUC达到0.764.
结论:
- 血小板结晶学参数在这个队列中没有显示出对VTE的显著预测价值.
- 在住院癌症患者中,D-二聚体仍然是静脉瘤的关键和可靠预测因子.
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