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深静脉血栓形成的季节和月度变化及部位评估

Evaluation of seasonal and monthly variation and location of deep vein thrombosis.

作者信息

Deşer Serkan Burç, Arapi Berk

机构信息

İstanbul University-Cerrahpasa, Institute of Cardiology, İstanbul, Turkey.

İstanbul University-Cerrahpasa, Medical Faculty, İstanbul, Turkey.

出版信息

J Vasc Bras. 2023 Oct 13;22:e20230080. doi: 10.1590/1677-5449.202300802. eCollection 2023.

Abstract

BACKGROUND

Deep vein thrombosis of the lower extremities is associated with a significant burden of comorbidities.

OBJECTIVES

In this study, our objective was to investigate the presence of seasonal variation in deep vein thrombosis (DVT) and assess the location of the thrombus.

METHODS

Out of 8177 patients admitted to two university hospitals and referred to outpatient clinics, we included a total of 611 consecutive patients (316 females, 295 males) diagnosed with acute deep vein thrombosis in this retrospective study. The mean age of the patients was 59.35±18.49 years, ranging from 1 to 96 years. Patients were categorized into four groups by age.

RESULTS

DVT was found to be more frequent in the summer (n = 190 or 31%, p = 0.003) and specifically in August (n = 65 or 10.6%, p = 0.014), while it was least frequent in the spring (n = 128 or 20.9%) and in May (n = 40 or 6.5%). However, when comparing seasons, no significant differences were observed in terms of seasonal variation (p = 0.062) or monthly variation (p = 0.143).

CONCLUSIONS

Contrary to previous studies, this study demonstrated a higher occurrence of DVT during the summer, particularly in August. However, it did not reveal a clear seasonal pattern. One plausible explanation for these findings could be the adverse winter conditions and transportation challenges within the province, which may result in fewer DVT patients being able to reach hospitals for timely treatment.

摘要

背景

下肢深静脉血栓形成与多种合并症的沉重负担相关。

目的

在本研究中,我们的目的是调查深静脉血栓形成(DVT)的季节变化情况,并评估血栓的位置。

方法

在两所大学医院收治并转诊至门诊的8177例患者中,我们在这项回顾性研究中纳入了总共611例连续诊断为急性深静脉血栓形成的患者(316例女性,295例男性)。患者的平均年龄为59.35±18.49岁,年龄范围为1至96岁。患者按年龄分为四组。

结果

发现DVT在夏季更为常见(n = 190或31%,p = 0.003),特别是在8月(n = 65或10.6%,p = 0.014),而在春季最不常见(n = 128或20.9%),在5月最少见(n = 40或6.5%)。然而,在比较季节时,在季节变化(p = 0.062)或月度变化(p = 0.143)方面未观察到显著差异。

结论

与先前的研究相反,本研究表明夏季DVT的发生率较高,尤其是在8月。然而,它并未揭示出明显的季节性模式。对这些发现的一个合理的解释可能是该省内恶劣的冬季条件和交通挑战,这可能导致能够及时到达医院治疗的DVT患者减少。

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Deep vein thrombosis.深静脉血栓形成
BMJ. 2018 Feb 22;360:k351. doi: 10.1136/bmj.k351.

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