The epidemiology of venous thromboembolism in the community.

摘要: The incidence of venous thromboembolism exceeds 1 per 1000; over 200,000 new cases occur in the United States annually. Of these, 30% die within 30 days; one-fifth suffer sudden death due to pulmonary embolism. Despite improved prophylaxis, has been constant since 1980. Independent risk factors for include increasing age, male gender, surgery, trauma, hospital or nursing home confinement, malignancy, neurologic disease with extremity paresis, central catheter/ transvenous pacemaker, prior superficial vein thrombosis, and varicose veins; among women, pregnancy, oral contraceptives, hormone replacement therapy. About surviving develop recurrent ten years. predictors recurrence obesity, malignant neoplasm, paresis. 28% stasis syndrome 20 To reduce incidence, improve survival, prevent complications, patients these characteristics should receive appropriate prophylaxis.