Screening for Deep Vein Thrombosis in Persons With COVID-19 Upon Admission to an Inpatient Rehabilitation Hospital
| Autor: | Gabrielle DeLauter, Bruce Pomeranz, Robert DeLuca, Bruce M. Gans, Samuel Hammerman, Fatma Eren, Steven Kirshblum |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Coronavirus disease 2019 (COVID-19) business.industry Deep vein Rehabilitation Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Retrospective cohort study medicine.disease Thrombosis 03 medical and health sciences Venous thrombosis 0302 clinical medicine medicine.anatomical_structure Emergency medicine medicine Young adult 0305 other medical science business 030217 neurology & neurosurgery Inpatient rehabilitation |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 100:419-423 |
| ISSN: | 1537-7385 0894-9115 |
| Popis: | OBJECTIVE: The aim of the study was to determine the prevalence of deep venous thrombosis detected by duplex screening and risk factors associated with deep venous thrombosis in patients with COVID-19 upon admission to an inpatient rehabilitation hospital. DESIGN: This is a retrospective review. SETTING: The setting is three freestanding inpatient rehabilitation hospitals operating as one system. PARTICIPANTS: The participants are consecutive patients with a diagnosis of COVID-19 admitted to an inpatient rehabilitation hospital without a diagnosis of deep venous thrombosis or screening duplex ultrasound prior to transfer. INTERVENTIONS: A duplex ultrasound of lower limbs was performed upon admission to inpatient rehabilitation hospital. OUTCOME MEASURES: Primary outcome was the percentage of admission patients with a lower limb deep venous thrombosis. Secondary factors included potential risk factors for a positive screen for deep venous thrombosis. RESULTS: A lower limb deep venous thrombosis was diagnosed in 22% (25/113) of the patients tested, with eight patients (7.1%) having a proximal deep venous thrombosis. Risk factors for screening positive for a deep venous thrombosis included being male, younger, and having been on a ventilator during the acute illness. CONCLUSIONS: The high rate of deep venous thrombosis observed in these patients suggests that the risk of venous thromboembolic disorders after severe COVID-19 illness is considerable and surveillance measures of such patients should be undertaken. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|