چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| Background: Thrombosis and pulmonary embolism appear to be major causes of mortality in hospitalized coronavirus disease 2019 (COVID-19) patients. However, few studies have focused on the incidence of venous thromboembolism (VTE) after hospitalization for COVID-19. Methods: In this multi-center study, we followed 1529 COVID-19 patients for at least 45 days after hospital discharge, who underwent routine telephone follow-up. In case of signs or symptoms of pulmonary embolism (PE) or deep vein thrombosis (DVT), they were invited for an in-hospital visit with a pulmonologist. The primary outcome was symptomatic VTE within 45 days of hospital discharge. Results: Of 1529 COVID-19 patients discharged from hospital, a total of 228 (14.9%) reported potential signs or symptoms of PE or DVT and were seen for an in-hospital visit. Of these, 13 and 12 received Doppler ultrasounds or pulmonary CT angiography, respectively, of whom only one patient was diagnosed with symptomatic PE. Of 51 (3.3%) patients who died after discharge, two deaths were attributed to VTE corresponding to a 45-day cumulative rate of symptomatic VTE of 0.2% (95%CI 0.1%-0.6%; n = 3). There was no evidence of acute respiratory distress syndrome (ARDS) in these patients. Other deaths after hospital discharge included myocardial infarction (n = 13), heart failure (n = 9), and stroke (n = 9). Conclusions: We did not observe a high rate of symptomatic VTE in COVID-19 patients after hospital discharge. Routine extended thromboprophylaxis after hospitalization for COVID-19 may not have a net clinical benefit. Randomized trials may be warranted. |
| نویسنده | نفر چندم مقاله |
|---|---|
| فرید رشیدی | اول |
| علی تقی زادیه | دهم |
| پریسا رضائی فر | یازدهم |
| اوریا تهمتن | شانزدهم |
| یاسمن بوداغی | سایر نویسندگان |
| مریم رضائی کجابادی | سایر نویسندگان |
| عطا کوهی | سایر نویسندگان |
| لیلا شکورزاد | سایر نویسندگان |
| فاطمه ابراهیمی | سایر نویسندگان |
| سروین رادور | سایر نویسندگان |
| مریم عموزاده | سایر نویسندگان |
| فاطمه فریدوند | سایر نویسندگان |
| کبری مولد ینگجه | سایر نویسندگان |
| خلیل انصارین | سایر نویسندگان |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| Incidence- COVID.pdf | 1400/02/01 | 377318 | دانلود |
