Nonadministration of pharmacologic venous thromboembolism prophylaxis is less common in hospitalized patients with COVID-19

Autor: Peggy S. Kraus, Michael B. Streiff, Mujan Varasteh Kia, Dauryne L. Shaffer, Deborah B. Hobson, Christine G. Holzmueller, Oluwafemi P. Owodunni, Elliott R. Haut, Brandyn D. Lau
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
medicine.medical_specialty
medicine.medical_treatment
030204 cardiovascular system & hematology
Chemoprevention
Risk Assessment
Article
03 medical and health sciences
0302 clinical medicine
COVID-19 Testing
Internal medicine
Deep vein thrombosis
medicine
Humans
Mass index
030212 general & internal medicine
cardiovascular diseases
Hospital Mortality
Medical prescription
Practice Patterns
Physicians'

Thromboprophylaxis
Retrospective Studies
Mechanical ventilation
Venous Thrombosis
Hematology
business.industry
SARS-CoV-2
Incidence (epidemiology)
Patient Selection
Pulmonary embolism
Age Factors
COVID-19
Retrospective cohort study
Venous Thromboembolism
Length of Stay
Middle Aged
medicine.disease
equipment and supplies
Respiration
Artificial

United States
Hospitalization
Median body
Female
Missed doses
business
Cardiology and Cardiovascular Medicine
Zdroj: Journal of Thrombosis and Thrombolysis
ISSN: 1573-742X
0929-5305
DOI: 10.1007/s11239-021-02384-9
Popis: Introduction The incidence of venous thromboembolism (VTE) in patients hospitalized with COVID-19 is higher than most other hospitalized patients. Nonadministration of pharmacologic VTE prophylaxis is common and is associated with VTE events. Our objective was to determine whether nonadministration of pharmacologic VTE prophylaxis is more common in patients with COVID-19 versus other hospitalized patients. Materials and methods In this retrospective cohort analysis of all adult patients discharged from the Johns hopkins hospital between Mar 1 and May 12, 2020, we compared demographic, clinical characteristics, VTE outcomes, prescription and administration of VTE prophylaxis between COVID-19 positive, negative, and not tested groups. Results Patients tested positive for COVID-19 were significantly older, and more likely to be Hispanic, have a higher median body mass index, have longer hospital length of stay, require mechanical ventilation, develop pulmonary embolism and die (all p
Databáze: OpenAIRE