Risk Factors of Unfavorable Outcomes, Major Bleeding, and All-Cause Mortality in Patients with Venous Thromboembolism

Han Young Lee; Tae Hoon Yeo; Tae Kyung Heo; Young Gyu Cho; Dong Hui Cho; Kyung Bok Lee

doi:10.5758/vsi.210041

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저자정보: Han Young Lee (Department of Surgery Seoul Medical Center Seoul Korea) Tae Hoon Yeo (Department of Surgery Seoul Medical Center Seoul Korea) Tae Kyung Heo (Department of Surgery Seoul Medical Center Seoul Korea) Young Gyu Cho (Department of Surgery Seoul Medical Center Seoul Korea) Dong Hui Cho (Department of Surgery Seoul Medical Center Seoul Korea) Kyung Bok Lee (Department of Surgery Dongguk University Ilsan Hospital Goyang Korea)

저널정보: 대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.37 No.4

발행연도: 2021.12

수록면: 46 - 46 (1page)

DOI: 10.5758/vsi.210041

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Purpose: This study aimed to analyze the clinical outcomes of venous thromboembolism (VTE) patients and identify the risk factors for VTE-related unfavorable outcomes, major bleeding, and 30-day all-cause mortality. Materials and Methods: From January 2016 to December 2020, 198 patients with confirmed VTE were enrolled. Potential risk factors for unfavorable outcomes, major bleeding, and all-cause mortality were analyzed. Results: VTE-related unfavorable outcomes developed in 13.1%, while 30-day all-cause mortality was 8.6%. In the multivariate analysis, a pulse ≥110/min and respiratory rate ≥30/min were statistically significant predictors for VTE-related unfavorable outcomes. Diabetes was a significant risk factor for major bleeding. In addition, a history of malignancy, no anticoagulation treatment, and need for mechanical ventilation were significant predictors of all-cause mortality. Conclusion: VTE-related mortality and morbidity rates remained high. In cases of tachycardia and tachypnea, early aggressive treatment is needed to prevent unfavorable outcomes. Patients with risk factors should be closely monitored.

#Venous thromboembolism #Risk factors #Mortality #Anticoagulants

참고문헌 (16)

참고문헌 신청

Schulman S / 2017 / Venous thromboembolism : past, present and future / Thromb Haemost 117:1219~1229

Tritschler T / 2018 / Venous thromboembolism : advances in diagnosis and treatment / JAMA 320:1583~1594

Arcelus JI / 2003 / The management and outcome of acute venous thromboembolism : a prospective registry including 4011 patients / J Vasc Surg 38:916~922

Anderson FA Jr / 2003 / Risk factors for venous thromboembolism / Circulation 107(23 Suppl 1):I9~I16

Nakamura M / 2001 / Clinical characteristics of acute pulmonary thromboembolism in Japan : results of a multicenter registry in the Japanese Society of Pulmonary Embolism Research / Clin Cardiol 24:132~138

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