Venous Thromboembolism in Critically Ill Patients with Covid-19: Results of a Screening Study for Deep Vein Thrombosis

作者: Alban Longchamp , Justine Longchamp , Sara Manzocchi‐Besson , Livia Whiting , Claude Haller

DOI: 10.1002/RTH2.12376

关键词:

摘要: Background The rapid spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and disease 2019 (COVID-19), has caused more than 3.9 million cases worldwide. Currently, there is great interest to assess venous thrombosis prevalence, diagnosis, prevention, management in patients with COVID-19. Objectives To determine prevalence thromboembolism (VTE) critically ill COVID-19, using lower limbs ultrasonography screening. Methods Beginning March 8, we enrolled 25 who were admitted intensive care unit (ICU) confirmed SARS-CoV-2 infections. presence extremity deep vein (DVT) was systematically assessed by between day 5 10 after admission. data reported here are those available up May 9, 2020. Results mean (± standard deviation) age 68 ± 11 years, 64% men. No had a history VTE. During ICU stay, 8 (32%) VTE; 6 (24%) proximal DVT, (20%) pulmonary embolism. rate symptomatic VTE 24%, while 8% screen-detected DVT. Only documented received therapeutic anticoagulant regimen. As 2020, died (20%), remained (8%), 18 discharged (72%). Conclusions In infections, DVT screening at days 5-10 admission yielded 32% Seventy-five percent events occurred before Earlier might be effective optimizing

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