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深静脉血栓形成与部位相关的临床特征及结局:一项回顾性分析研究

Clinical Characteristics and Outcomes of Deep Vein Thrombosis in Relation to Location: A Retrospective Analysis Study.

作者信息

Al Yami Majed S, Alshehri Abdulmajeed M, Alotaibi Ghadah M, Alsulimani Mariam S, Alotaibi Fay M, Alotaibi Rawan A, Alqahtani Nouf A, Alhumaidan Lama A, Bin Hadhir Lubna S, Alebrah Norah M, Almohareb Sumaya N, Alshaya Omar A, Alkhezi Omar S, Alfayez Osamah M, Almohammed Omar A, Badawoud Amal M

机构信息

Department of Pharmacy Practice, College of Pharmacy, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.

出版信息

Clin Appl Thromb Hemost. 2025 Jan-Dec;31:10760296241313055. doi: 10.1177/10760296241313055.

Abstract

Deep vein thrombosis (DVT) is a leading cause of death disability. DVT can be classified based on the location and extent of the clot into isolated distal DVT (iDDVT), isolated proximal DVT (iPDVT), or mixed DVT. The aim of this study is to explore the baseline characteristics and clinical outcomes of patients with different types of DVT. This was a retrospective study of patients who experienced their first DVT event and received an anticoagulant for management. The outcomes of this study include evaluating patients' characteristics for patients with DVT and assessing the incidence of recurrent DVT, major bleeding (MB), VTE-related rehospitalization, and DVT-related inpatient mortality across different types of DVT. A total of 493 patients were included in the study. Of those, 273 (55.4%) had iPDVT, 25 (5.1%) had iDDVT, and 195 (39.6%) had mixed DVT. The VTE etiology was similar across the groups except for the leg injury, which was significantly higher in patients with iDDVT (24%) compared to iPDVT (6.2%) and mixed DVT (5.6%) (= .002). At 12 months, a total of 49 patients (9.9%) had a recurrent DVT event; 25 (9.2%) in the iPDVT group, 3 (12.0%) in the iDDVT group, and 21 (10.8%) in the mixed DVT group (= .797). Rates of MB, re-hospitalization, and death from DVT were similar between the groups. Baseline characteristics were not significantly linked to the risk of developing a specific type of lower extremity DVT. Long-term outcomes were similar across all DVT types.

摘要

深静脉血栓形成(DVT)是导致死亡和残疾的主要原因。DVT可根据血栓的位置和范围分为孤立性远端DVT(iDDVT)、孤立性近端DVT(iPDVT)或混合性DVT。本研究的目的是探讨不同类型DVT患者的基线特征和临床结局。这是一项对首次发生DVT事件并接受抗凝治疗的患者进行的回顾性研究。本研究的结局包括评估DVT患者的特征,以及评估不同类型DVT患者复发性DVT、大出血(MB)、VTE相关再住院和DVT相关住院死亡率的发生率。共有493例患者纳入本研究。其中,273例(55.4%)患有iPDVT,25例(5.1%)患有iDDVT,195例(39.6%)患有混合性DVT。除腿部损伤外,各组VTE病因相似,iDDVT患者的腿部损伤发生率(24%)显著高于iPDVT患者(6.2%)和混合性DVT患者(5.6%)(P = 0.002)。在12个月时,共有49例患者(9.9%)发生复发性DVT事件;iPDVT组25例(9.2%),iDDVT组3例(12.0%),混合性DVT组21例(10.8%)(P = 0.797)。各组间MB、再住院率和DVT死亡率相似。基线特征与发生特定类型下肢DVT的风险无显著关联。所有DVT类型的长期结局相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f73b/11713955/d009a19b2d2f/10.1177_10760296241313055-fig1.jpg

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