作者: Jason B. Hill , David Garcia , Mark Crowther , Bryan Savage , Shira Peress
DOI: 10.1182/BLOODADVANCES.2020003083
关键词: Mechanical ventilation 、 Emergency department 、 MEDLINE 、 Emergency medicine 、 Cohort 、 Retrospective cohort study 、 Thrombosis 、 Renal replacement therapy 、 Mortality rate 、 Medicine
摘要: Patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) appear to be at increased risk for venous thromboembolism (VTE), especially if they become critically ill COVID-19. Some centers have reported very high rates of thrombosis despite anticoagulant prophylaxis. The electronic health record (EHR) a New Orleans-based system was searched all patients polymerase chain reaction-confirmed SARS-CoV-2 infection who were either admitted hospital or treated and discharged from an emergency department between 1 March 2020 May 2020. From this cohort, confirmed VTE (either during after their encounter) identified by administrative query the EHR.: Between 2020, 6153 COVID-19 identified; 2748 these admitted, while 3405 received care exclusively through department. In total, 637 required mechanical ventilation 206 renal replacement therapy. Within hospitalized overall mortality rate 24.5% occurred in 86 (3.1%). some point stay, 45 developed (7.2%). After median follow-up 14.6 days, had been diagnosed 3 2075 alive (0.14%). Among departments, we did not find evidence unusually risk. Pending further prospective, controlled trials, our findings support traditional approach primary prevention