医院获得的静脉血栓栓塞的患病率和危险因素
Hai-Lei Li1, He Zhang2, Yiu Che Chan1,2
1Division of Vascular Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong, China.
Phlebology
|November 5, 2024
概括
医院获得的静脉血栓塞栓症 (HA-VTE) 影响了所有静脉血栓塞栓事件的近四分之一,成人住院病例的发生率为0.296%. 老年,恶性瘤和ICU停留是需要加强监测的关键风险因素.
科学领域:
- 医学研究 医学研究
- 临床流行病学临床流行病学
- 公共卫生 公共卫生
背景情况:
- 医院获得的静脉血栓塞栓症 (HA-VTE) 是致病率和死亡率的重要原因.
- 了解HA-VTE的患病率,特征和风险因素对于有效的预防策略至关重要.
研究的目的:
- 调查中国一家医院中HA-VTE的发病率,临床特征和危险因素.
- 在七年时间内分析HA-VTE发病率的趋势.
主要方法:
- 从2016年1月到2022年12月,对321,997例医疗住院病人的回顾性分析.
- 纳入标准:被诊断患有HA-VTE的患者,不包括先前有VTE的患者.
- 数据分析包括人口统计信息和风险因素评估.
主要成果:
- 在4022例VTE病例中,952例 (23.7%) 被确定为HA-VTE,总发病率为0.296%.
- 在老年患者,男性,患有恶性瘤,创伤,急诊,ICU住院和重大手术中观察到更高的发病率.
- 在HA-VTE患者中,住院时间更长,死亡率更高.
- 在2016年至2022年期间,每年HA-VTE的发病率从每1000名患者中从0.75增加到5.89.
结论:
- 在住院患者中,HA-VTE代表了大量的VTE事件.
- 老年患者,患有恶性瘤的患者,ICU入院患者和重大手术患者需要加强HA-VTE监测和预防协议.
- 发病率上升凸显了持续警和改善预防措施的必要性.
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