Duplex Ultrasound Screening for Deep and Superficial Vein Thrombosis in COVID‐19 Patients
| Autor: | Francesco Deodati, Cristina Marcelo, Beatriz Álvarez, María Mateos, Lucía Ordieres, Yale Tung-Chen, Ruth Calderón, Javier Marco, Aranzazu Castellano |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Duplex ultrasonography Superficial vein thrombosis medicine.medical_treatment Coronavirus Disease 2019 (COVID‐19) deep vein thrombosis Oxygen therapy superficial vein thrombosis medicine Humans duplex ultrasonography Radiology Nuclear Medicine and imaging Medical history Retrospective Studies Original Research Venous Thrombosis Ultrasonography Doppler Duplex Radiological and Ultrasound Technology business.industry Incidence (epidemiology) COVID-19 Venous Thromboembolism Heparin Low-Molecular-Weight Middle Aged medicine.disease Thrombosis Surgery medicine.vein Duplex (building) Female Posterior tibial vein business Severe Acute Respiratory Syndrome Coronavirus 2 (SARS‐CoV‐2) |
| Zdroj: | Journal of Ultrasound in Medicine |
| ISSN: | 1550-9613 0278-4297 |
| Popis: | Background There is growing evidence regarding the venous thromboembolic (VTE) pathophysiology of coronavirus disease 2019 (COVID-19). Several studies have reported varying incidences of this disease. Objectives The main purpose of this study was to determine the real incidence of deep or superficial vein thrombosis in COVID-19. The study also aimed to identify risk and protective factors for VTE. Methods Patients were consecutively enrolled and assessed with a bilateral Duplex ultrasonography of lower limbs during hospitalization. The exam was repeated weekly until discharge, and then follow-up for 1 month. Results Two-hundred and thirty-three patients were enrolled. Mean age was 54.4 years (SD 12.7) and 47.8% were female. About 127 patients (54.5%) had comorbidities. At enrollment, patients were normotensive and had normal saturation (95.6%-SD 1.6, with a respiratory rate of 19.1 rpm-SD 4.0), with 130 needing at least supplementary oxygen therapy (55.8%). About 147 patients (63.1%) had at least 1 Duplex ultrasonography study performed and 1.7% had 5 or more studies. One patient had a distal posterior tibial vein thrombosis, which showed signs of chronicity and was congruent with the patient history. Therefore, the incidence of thrombotic events was nearly zero. Discussion Our study results suggest that performing a Duplex Ultrasonography screening protocol in stable COVID-19 patient populations, who may need hospitalization but are without symptoms of vein thrombosis, is not founded. We presumably emphasize the advantage of using intermediate LMWH doses as well as early walking in COVID-19 patients. |
| Databáze: | OpenAIRE |
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