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Venous Thromboembolism During Ten-year Follow up on Clinical Center University of Sarajevo

INTRODUCTION: Venous thromboembolism (VTE) consists of two entities, deep venous thrombosis (DVT), and its complication, pulmonary embolism (PE). The main therapeutic goal is the prevention of this complication. AIM: The aim of the study was to present epidemiological data of patients with the diagn...

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Autores principales: Mlaco, Akif, Mlaco, Nejra, Bejtovic, Demir, Dzubur, Alen, Spuzic, Muhamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AVICENA, d.o.o., Sarajevo 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690313/
https://www.ncbi.nlm.nih.gov/pubmed/31452630
http://dx.doi.org/10.5455/msm.2019.31.84-87
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author Mlaco, Akif
Mlaco, Nejra
Bejtovic, Demir
Dzubur, Alen
Spuzic, Muhamed
author_facet Mlaco, Akif
Mlaco, Nejra
Bejtovic, Demir
Dzubur, Alen
Spuzic, Muhamed
author_sort Mlaco, Akif
collection PubMed
description INTRODUCTION: Venous thromboembolism (VTE) consists of two entities, deep venous thrombosis (DVT), and its complication, pulmonary embolism (PE). The main therapeutic goal is the prevention of this complication. AIM: The aim of the study was to present epidemiological data of patients with the diagnosis of deep venous thrombosis, with regard to the location of thrombosis, the value of fibrinogen and D-dimer in relation to the sex of the patients, the presentation of therapeutic modality, with the presentation of PE and treatment outcomes. METHODS: The study has a retrospective and observational feature, covering the period from 2008 to 2017, and included 1154 patients with the diagnosis of deep venous thrombosis as a basic criterion for inclusion. Data on sex, age, diagnosis with thrombosis localization, hospitalization duration, administered therapy, D-dimer and fibrinogen values, pulmonary thromboembolism and mortality were collected. RESULTS: The deep venous thrombosis was mostly located at the lower limbs - in 1079 respondents (93.5%), then at the upper limbs in 65 (5.63%) cases. The left side is more represented (58.9%) than the right (40.3%), which is statistically significant (χ(2)=40.03, p<0.005), while 0.9% of patients had DVT bilaterally. At the lower limbs is the most common iliac thrombosis, represented in 47% of thrombosis cases at the lower limbs. Subclavian axillary thrombosis has been reported in ¾ cases at the upper limbs. The mean fibrinogen concentration in all respondents is 5.2 mg/L, for men 5.0 mg/L and for women 5.3 mg/L, above the reference values (1.8-3.8 g/L). The mean value of D-dimer was 7.33 mg/L for all respondents, 8.46 mg/L for women and 6.5 mg/L for men, which was high above the reference limit (0.55 mg/L). From baseline, 88 (7.6%) of respondents had proven/high-grade pulmonary thromboembolism as a DVT complication in the observed period. Pearson correlation established a positive correlation between lethal outcome and patient age, r=0.13, p<0.005, followed by a higher incidence of lethal outcome after DVT in older patients. CONCLUSION: The incidence of venous thromboembolism is approximately equal among the genders, and increases with the age of the patients, especially in men. Fibrinogen and D-dimer values in hospitalized patients are higher than the reference, in both cases more among women. Multidisciplinary approach to patients, in cooperation with angiologists, pulmonologists, cardiologists and nuclear medicine specialists is an imperative. The development of a state-level registry that would follow the incidence of deep venous thrombosis, with reference to risk factors, is imperative and necessary in planning of community health system.
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spelling pubmed-66903132019-08-26 Venous Thromboembolism During Ten-year Follow up on Clinical Center University of Sarajevo Mlaco, Akif Mlaco, Nejra Bejtovic, Demir Dzubur, Alen Spuzic, Muhamed Mater Sociomed Original Paper INTRODUCTION: Venous thromboembolism (VTE) consists of two entities, deep venous thrombosis (DVT), and its complication, pulmonary embolism (PE). The main therapeutic goal is the prevention of this complication. AIM: The aim of the study was to present epidemiological data of patients with the diagnosis of deep venous thrombosis, with regard to the location of thrombosis, the value of fibrinogen and D-dimer in relation to the sex of the patients, the presentation of therapeutic modality, with the presentation of PE and treatment outcomes. METHODS: The study has a retrospective and observational feature, covering the period from 2008 to 2017, and included 1154 patients with the diagnosis of deep venous thrombosis as a basic criterion for inclusion. Data on sex, age, diagnosis with thrombosis localization, hospitalization duration, administered therapy, D-dimer and fibrinogen values, pulmonary thromboembolism and mortality were collected. RESULTS: The deep venous thrombosis was mostly located at the lower limbs - in 1079 respondents (93.5%), then at the upper limbs in 65 (5.63%) cases. The left side is more represented (58.9%) than the right (40.3%), which is statistically significant (χ(2)=40.03, p<0.005), while 0.9% of patients had DVT bilaterally. At the lower limbs is the most common iliac thrombosis, represented in 47% of thrombosis cases at the lower limbs. Subclavian axillary thrombosis has been reported in ¾ cases at the upper limbs. The mean fibrinogen concentration in all respondents is 5.2 mg/L, for men 5.0 mg/L and for women 5.3 mg/L, above the reference values (1.8-3.8 g/L). The mean value of D-dimer was 7.33 mg/L for all respondents, 8.46 mg/L for women and 6.5 mg/L for men, which was high above the reference limit (0.55 mg/L). From baseline, 88 (7.6%) of respondents had proven/high-grade pulmonary thromboembolism as a DVT complication in the observed period. Pearson correlation established a positive correlation between lethal outcome and patient age, r=0.13, p<0.005, followed by a higher incidence of lethal outcome after DVT in older patients. CONCLUSION: The incidence of venous thromboembolism is approximately equal among the genders, and increases with the age of the patients, especially in men. Fibrinogen and D-dimer values in hospitalized patients are higher than the reference, in both cases more among women. Multidisciplinary approach to patients, in cooperation with angiologists, pulmonologists, cardiologists and nuclear medicine specialists is an imperative. The development of a state-level registry that would follow the incidence of deep venous thrombosis, with reference to risk factors, is imperative and necessary in planning of community health system. AVICENA, d.o.o., Sarajevo 2019-06 /pmc/articles/PMC6690313/ /pubmed/31452630 http://dx.doi.org/10.5455/msm.2019.31.84-87 Text en © 2019 Akif Mlaco, Nejra Mlaco, Demir Bejtovic, Alen Dzubur, Muhamed Spuzic http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Mlaco, Akif
Mlaco, Nejra
Bejtovic, Demir
Dzubur, Alen
Spuzic, Muhamed
Venous Thromboembolism During Ten-year Follow up on Clinical Center University of Sarajevo
title Venous Thromboembolism During Ten-year Follow up on Clinical Center University of Sarajevo
title_full Venous Thromboembolism During Ten-year Follow up on Clinical Center University of Sarajevo
title_fullStr Venous Thromboembolism During Ten-year Follow up on Clinical Center University of Sarajevo
title_full_unstemmed Venous Thromboembolism During Ten-year Follow up on Clinical Center University of Sarajevo
title_short Venous Thromboembolism During Ten-year Follow up on Clinical Center University of Sarajevo
title_sort venous thromboembolism during ten-year follow up on clinical center university of sarajevo
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690313/
https://www.ncbi.nlm.nih.gov/pubmed/31452630
http://dx.doi.org/10.5455/msm.2019.31.84-87
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