Basavanthappa Rajendra Prasad, Jp Vivek Vardhan, Gangadharan Ashwini Naveen, Desai Sanjay Channappa, Anagavalli Ramswamy Chandrashekar, Luthra Luv, Kumar Adharsh, Anandasu Ranjith Kumar
Department of Vascular and Endovascular Surgery, Ramaiah Medical College, Bangalore, India.
Ann Vasc Dis. 2019 Jun 25;12(2):205-209. doi: 10.3400/avd.oa.18-00152.
: Venous thromboembolism (VTE) includes deep vein thrombosis (DVT) and pulmonary embolism (PE). VTE affects all races, age groups, and genders. The objective of this registry was to analyze the patient characteristics, clinical outcomes, management strategies, and temporal trends in VTE at a single center. : Consecutive medical records of inpatients between January 2007 and March 2018, meeting the inclusion criteria (confirmed diagnosis of DVT by Doppler ultrasound scan and/or PE by chest computed tomography) were identified and collected. A total of 1,024 patients were reviewed. : Eight hundred and twelve patients with VTE were enrolled into the study; 37.4% were referrals from outside hospitals, 33.1% of the total patients had no risk factors, hence classified as unprovoked VTE and the rest of the patients had single or multiple risk factors which may have provoked the VTE, 68.8% presented with swelling and pain, and 88.5% had proximal DVT. : VTE is no longer a rare phenomenon in the Indian population, as believed earlier. The knowledge of VTE, prophylaxis, and treatment strategies is minimal among small institutes, nursing homes, and among general practitioners who are not affiliated with teaching institutes. Therefore, educating primary care physicians/surgeons on VTE is paramount, as this would reduce the incidence of VTE in India as well as associated morbidity and mortality rates.
静脉血栓栓塞症(VTE)包括深静脉血栓形成(DVT)和肺栓塞(PE)。VTE影响所有种族、年龄组和性别。本登记研究的目的是分析单中心VTE患者的特征、临床结局、管理策略及时间趋势。
确定并收集了2007年1月至2018年3月期间符合纳入标准(通过多普勒超声扫描确诊DVT和/或通过胸部计算机断层扫描确诊PE)的住院患者的连续病历。共审查了1024例患者。
812例VTE患者纳入研究;37.4%为外院转诊患者,33.1%的患者无危险因素,因此归类为特发性VTE,其余患者有单个或多个可能引发VTE的危险因素,68.8%表现为肿胀和疼痛,88.5%为近端DVT。
VTE在印度人群中已不再像之前认为的那样是一种罕见现象。在小型机构、疗养院以及与教学机构无关的全科医生中,对VTE、预防和治疗策略的了解非常有限。因此,对初级保健医生/外科医生进行VTE教育至关重要,因为这将降低印度VTE的发病率以及相关的发病率和死亡率。