Effects of race and ethnicity on the incidence of venous thromboembolism
Autor: | Craig R Keenan, Richard H. White |
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Rok vydání: | 2009 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Ethnic group Risk Assessment California White People Young Adult Sex Factors Asian People Fibrinolytic Agents Recurrence Risk Factors Internal medicine Epidemiology Prevalence medicine Humans cardiovascular diseases Risk factor Young adult Intensive care medicine Aged Aged 80 and over business.industry Incidence Incidence (epidemiology) Age Factors Anticoagulants Health Status Disparities Hispanic or Latino Venous Thromboembolism Hematology Middle Aged equipment and supplies medicine.disease Pulmonary embolism Black or African American Embolism Pacific islanders Female Pulmonary Embolism business |
Zdroj: | Thrombosis Research. 123:S11-S17 |
ISSN: | 0049-3848 |
DOI: | 10.1016/s0049-3848(09)70136-7 |
Popis: | Although there is strong evidence that the prevalence of venous thrombo-embolism (VTE) varies significantly among different ethnic/racial groups, the genetic, physiologic and/or clinical basis for these differences remain largely undefined. African-American patients have a significantly higher rate of incident VTE, particularly following exposure to a provoking risk factor such as surgery, medical illness, trauma, etc. In addition, African-Americans are more likely to be diagnosed with pulmonary embolism (PE) than deep-vein thrombosis (DVT) compared to Caucasian and other racial groups. On the other extreme, Asians/Pacific Islanders have a 70% lower prevalence of VTE and this is true for both idiopathic VTE and provoked, or 'secondary', VTE. Hispanics have a significantly lower prevalence of VTE compared to Caucasians, but higher than Asians/Pacific Islanders. The incidence of recurrent VTE varies depending on gender, type of thromboembolic event and race. Further research is needed in order to determine the fundamental differences between racial/ethnic groups that explain the observed differences in the prevalence of VTE. Race/ethnicity should be considered an important factor in the risk-stratification of patients with suspected VTE or patients at some risk for developing VTE. |
Databáze: | OpenAIRE |
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