2022, Number 3
Clinical and epidemiological characterization of patients with deep vein thrombosis and cancer
Language: Spanish
References: 18
Page: 1-13
PDF size: 250.65 Kb.
ABSTRACT
Introduction: Venous thromboembolic disease is a disorder in which a thrombus forms inside the veins, which blocks blood flow and produces different symptoms depending on its location.Objectives: To define the clinical and epidemiological characteristics of patients with deep vein thrombosis and cancer.
Methods: A descriptive and retrospective study of patients admitted in the Phlebolymphology Service of the National Institute of Angiology and Vascular Surgery, with the diagnosis of deep vein thrombosis and cancer, was conducted during the period between January and December 2018. The following variables were studied: age groups, sex, diagnosis upon admission, risk factors, types of cancer and location of thrombosis according to Eco-Doppler.
Results: The predominant age group was 60-69 years (30.8 %) and the female sex prevailed (61.5 %). The location of cancer in the breasts and prostate stood out with three cases each (23.1%). The predominant risk factor was age (38.4%), followed by the presence of metastases (23.1%). As the predominant sector, according to Eco-Doppler, it was found the femoro-popliteal (58.8%).
Conclusions: Deep vein thrombosis greatly affects cancer patients. The most affected are between 60 and 69 years old. The predominant risk factors were age and the presence of metastases; and the most frequent location, the lower limbs, specifically, at the level of the femoro-popliteal sector.
REFERENCES
Bustillo Santandreu MJ, López González D, Feito Castex T, García Seco F, Álvarez López Y. Trombosis venosa profunda en adultos mayores con cáncer. Rev. Cubana Angiol Cir Vasc. 2015[acceso 29/04/2021];16(1):9-20. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1682-00372015000100003&Ing=es 3.
Salvador C, Segura A. Modelos predictivos de riesgo de enfermedad tromboembólica venosa. Sociedad Española de Oncología Médica (SEOM); 2019[acceso 29/04/2021]. Disponible en: Disponible en: http://seom.org/formacion-on-line/revisiones-cientificas/207651-modelos-predictivos-de-riesgo-de-enfermedad-tromboembolica-venosa 6.
Dirección de Registros Médicos y Estadísticas de Salud del Ministerio de Salud Pública de Cuba. Anuario estadístico de Salud. Gaceta Oficial de la República de Cuba. No. 59 Extraordinaria; 2018 Oct 24[acceso 29/04/2021]. Disponible en: Disponible en: http://bvscuba.sld.cu/anuario-estadistico-de-cuba/ 7.
Jara Palomares L, Caballero Eraso C, Elías Hernández T, Ferrer Galván M, Márquez Peláez S, Cayuela A, et al8. . Outpatient management of patients with deep vein thrombosis and cancer: A study of safety, cost and budget impact. Med Clin. 2012[acceso 03/05/2021];138(8):327-31. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/22137994/ 8.
García Fajardo JD, Martín Rodríguez A, Flores Ramírez I, Musle Acosta M, Pereira Moya C. Características clínico epidemiológicas de pacientes con trombosis venosa profunda en los miembros inferiores. MEDISAN. 2020[acceso 04/05/2021];24(3):444. Disponible en: Disponible en: http://medisan.sld.cu/index.php/san/rt/captureCite/3037/0 14.
Nemeth B, Lijferin WM, Nelissen RG, Schipper IB, Rosendaal FR, le Cessie S, et al16. . Risk and Risk Factors Associated with Recurrent Venous Thromboembolism Following Surgery in Patients with History of Venous Thromboembolism. JAMA Netw Open. 2019[acceso 04/05/2021];2(5):e193690. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6512304/ 16.
Font C, Farrús B, Vidal L, Caralt TM, Visa L, Mellado B. Incidental versus symptomatic venous thrombosis in cancer: a prospective observational study of 340 consecutive patients. Ann Oncol. 2011[acceso 04/05/2021];22(9):2101-6. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/21325446/ 17.
Monreal Bosch M, Calleja Hernández MA. Trombosis Asociada al cáncer (TAC), una causa de muerte muchas veces ignorada en pacientes con cáncer: medidas necesarias para mejorar los resultados en salud y reducir la mortalidad. Adaptación del White Paper original de la trombosis asociada al cáncer basada en la evidencia local española; 2020[acceso 04/05/2021]. Disponible en: Disponible en: http://www.capitulodeflebologia.org/wp-content/uploads/2020/06/TVP-y-cancer-libro-blanco_441.pdf 18.