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新冠疫情隔离期间深静脉血栓形成病例增加。

Increased deep vein thrombosis cases during the COVID-19 quarantine.

作者信息

Karaali Evren, Çiloğlu Osman, Demirtürk Orhan Saim, Keklikçioğlu Burak, Akçay İsmail, Ekiz Timur

机构信息

Department of Orthopedics and Traumatology, University of Health Science Adana City Training and Research Hospital, Adana, Turkey.

Department of Cardiovascular Surgery, Türkmenbası Medical Center, Adana, Turkey.

出版信息

Phlebology. 2021 Mar;36(2):114-118. doi: 10.1177/0268355520977294. Epub 2020 Dec 7.

Abstract

OBJECTIVE

The aim of this study was to compare the number of deep vein thrombosis (DVT) cases during the quarantine period for COVID-19 to that of the last year.

METHODS

This study was conducted as a single-center and retrospective study. All hospital admissions during April 2020 and May 2020 were screened from the hospital records, and DVT cases were recorded. Likewise, all hospital admissions during April 2019 and May 2019 were screened, and DVT cases were noted. DVT cases of both years were compared.

RESULTS

Among 480931 patients admitted to our hospital in April 2019 and May 2019, DVT was detected in 82 patients (0.017%) (47 males, 35 females) with a mean age of 56.99 ± 9.1 years (ranges 39 to 79 years). Besides, among 145101 patients admitted to our hospital in April 2020 and May 2020, DVT was detected in 123 patients (0.084%) (51 males, 72 females) with a mean age of 58.64 ± 8.9 years (ranges 40 to 83 years). Despite the decrease in the total number of patients admitted to the hospital, there was a significant increase in the number of DVT patients. Interestingly, there were only two symptomatic pulmonary-embolism cases in the 2019 period, whereas there were seven symptomatic pulmonary embolisms secondary to DVT in the 2020 period. Unfortunately, one patient died due to pulmonary embolism secondary to DVT in 2020. The previous history of DVT was remarkable in patients admitted during the COVID-19 confinement.

CONCLUSION

In conclusion, COVID-19 confinement seems to be associated with increased rates of DVT. Strict preventive measures such as exercise training or prophylactic drug use should be considered to prevent immobility-related DVT during the COVID-19 quarantine.

摘要

目的

本研究旨在比较新型冠状病毒肺炎(COVID-19)隔离期间深静脉血栓形成(DVT)病例数与上一年的情况。

方法

本研究为单中心回顾性研究。从医院记录中筛选出2020年4月至5月期间所有入院患者,并记录DVT病例。同样,筛选出2019年4月至5月期间所有入院患者,并记录DVT病例。对这两年的DVT病例进行比较。

结果

2019年4月至5月期间我院收治的480931例患者中,82例(0.017%)检测出DVT(男性47例,女性35例),平均年龄56.99±9.1岁(范围39至79岁)。此外,2020年4月至5月期间我院收治的145101例患者中,123例(0.084%)检测出DVT(男性51例,女性72例),平均年龄58.64±8.9岁(范围40至83岁)。尽管入院患者总数有所减少,但DVT患者数量显著增加。有趣的是,2019年期间仅有2例症状性肺栓塞病例,而2020年期间有7例继发于DVT的症状性肺栓塞病例。不幸的是,2020年有1例患者因DVT继发肺栓塞死亡。COVID-19隔离期间入院患者的DVT既往史显著。

结论

总之,COVID-19隔离似乎与DVT发生率增加有关。应考虑采取运动训练或预防性药物使用等严格预防措施,以预防COVID-19隔离期间与制动相关的DVT。

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