心力衰竭住院患者发生静脉血栓栓塞的风险
Risk of venous thromboembolism in patients hospitalized with heart failure.
作者信息
Beemath Afzal, Stein Paul D, Skaf Elias, Al Sibae M Rasm, Alesh Issa
机构信息
St. Joseph Mercy Oakland Hospital, Pontiac, Michigan.
出版信息
Am J Cardiol. 2006 Sep 15;98(6):793-5. doi: 10.1016/j.amjcard.2006.03.064. Epub 2006 Jul 28.
Because of uncertainty about the prevalence of pulmonary embolism (PE) and deep venous thrombosis (DVT) in hospitalized patients with congestive heart failure (CHF), data from the National Hospital Discharge Survey were investigated. Among hospitalized patients with CHF, PE was diagnosed in 0.73% and DVT in 1.03%. The relative risk for PE in patients with CHF compared with patients with no CHF was 2.15; for DVT, it was 1.21. The relative risk for PE in patients with CHF was greatest in patients <40 years of age (relative risk 11.72), and the relative risk for DVT was 5.46. In conclusion, a high relative risk for PE, DVT, and venous thromboembolism was shown in patients with CHF who were <60 years of age.
由于住院的充血性心力衰竭（CHF）患者中肺栓塞（PE）和深静脉血栓形成（DVT）的患病率存在不确定性，因此对国家医院出院调查的数据进行了研究。在住院的CHF患者中，PE的诊断率为0.73%，DVT的诊断率为1.03%。与无CHF的患者相比，CHF患者发生PE的相对风险为2.15；发生DVT的相对风险为1.21。CHF患者中，年龄<40岁的患者发生PE的相对风险最高（相对风险为11.72），发生DVT的相对风险为5.46。总之，<60岁的CHF患者发生PE、DVT和静脉血栓栓塞的相对风险较高。
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