与位置相关的深静脉血栓的临床特征和结果:一项回顾性分析研究
Majed S Al Yami1,2,3, Abdulmajeed M Alshehri1,2,3, Ghadah M Alotaibi1
1Department of Pharmacy Practice, College of Pharmacy, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
概括
深静脉血栓症 (DVT) 被分为隔离远端 (iDDVT),隔离近端 (iPDVT) 或混合类型的分类显示了类似的长期结果. 基线特征没有显著预测DVT类型,在iDDVT中,腿部损伤更高.
科学领域:
- 医学研究 医学研究
- 血管医学是一种血管医学.
- 血栓形成的原因之一是血栓形成.
背景情况:
- 深静脉血栓塞 (DVT) 是死亡率和发病率的重要原因.
- 高密度DVT的分类包括隔离远密度DVT (iDDVT),隔离近密度DVT (iPDVT) 和混合DVT.
- 了解各种DVT类型的基线特征和结果的差异对于患者管理至关重要.
研究的目的:
- 为了研究不同DVT分类的患者的基线特征.
- 在iDDVT,iPDVT和混合DVT组中评估和比较临床结果,包括复发性DVT,严重出血,再住院和死亡率.
主要方法:
- 这是一项回顾性研究,分析了493名患有第一个DVT事件的患者的数据.
- 根据凝块的位置和程度,患者被分为iDDVT,iPDVT或混合 DVT 组.
- 评估结果包括复发性DVT,严重出血 (MB),与VTE相关的再住院,以及12个月后与DVT相关的住院患者死亡率.
主要成果:
- 这项研究包括273名 (55.4%) iPDVT,25名 (5.1%) iDDVT和195名 (39.6%) 混合DVT患者.
- 腿部损伤是iDDVT (24%) 与iPDVT (6.2%) 和混合DVT (5.6%) 相比更常见的病因.
- 在12个月内,总体复发性DVT为9.9%,在各组的发病率相似 (iPDVT为9.2%,iDDVT为12.0%,混合DVT为10.8%). 结核病,再住院和与DVT相关的死亡率也是相似的.
结论:
- 在基线特征和特定下肢DVT类型的发展之间没有发现显著的关联.
- 临床结果,包括复发,出血,再住院和死亡率,在隔离的远距离,隔离的近距离和混合的DVT分类中是可比的.
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