medigraphic.com
SPANISH

Medicina Interna de México

Colegio de Medicina Interna de México.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2010, Number 1

<< Back Next >>

Med Int Mex 2010; 26 (1)

Riesgo de enfermedad tromboembólica venosa en pacientes con enfermedad aguda internados en urgencias

Cabrera RA, Laguna HG, Reyes LD, Torres NP, Díaz AF, Graciano GL, Bárcenas OM, García MP, Rangel SS, Castillo AG, Santiago RA, Gutiérrez CP
Full text How to cite this article

Language: Spanish
References: 10
Page: 31-35
PDF size: 269.19 Kb.


Key words:

Risk factors, venous thromboembolism.

ABSTRACT

Background: Venous thromboembolic disease is a serious public health problem throughout the world and a major cause of potentially preventable deaths in hospitals. It is necessary to know the risk factors for venous thromboembolic from the emergency services.
Objetive: Knowing the risk factors for venous thromboembolic in patients with acute illness in the emergency boarding Patients and methods: Adult patients admitted in emergency during the months of January and February 2009 were evaluated according to the number and characteristics of risk factors for venous thromboembolic defined by the ACCP guidelines. Based on the number of risk factors determined the possibility of developing venous thromboembolic.
Results: During the study period were admitted to the emergency room observation 2.050 adult patients, of whom 1.980 were considered eligible patients. The average age is 58.5 years. 920 men and 1.060 women. 970 patients were over 60 years of age. Obesity and peripheral venous insufficiency were reported in 26% of cases, chronic renal failure was found in 376 patients. 257 had prolonged immobilization and in 158 established diagnosis of any malignancy. Over 80% of patients have at least two risk factors for VTE and 70% high risk for developing VTE (more than three risk factors).
Conclusion: Most patients admitted to the emergency have high or very high risk to develop VTE. You must make an analysis of the number of risk factors and effective prophylactic measures to reduce morbidity and mortality of this disease.


REFERENCES

  1. Mark A, Crowthera MA, Cook DJ. Thromboprophylaxis in medical-surgical critically ill patients. Curr Opin Crit Care 2008;14:520-523.

  2. Cabrera-Rayo A, Nellem-Nahum H. Epidemiología de la enfermedad tromboembólica venosa. Gac Med Mex 2007;143:3-5.

  3. Anderson F, Wheeler HB, Goldberg RJ, Hosmer DD, Patwardhan NA. A population-based perspective of the hospital incidence and case-fatality rates of deep vein thrombosis and pulmonary embolism. The Worcester DVT Study.

  4. Heit J, Silverstein M, Mohr D, Petterson T, et al. Predictors of survival after deep vein thrombosis and pulmonary embolism: a population-based, cohort study. Arch Intern Med 1999;159:445- 453.

  5. Cabrera-Rayo A, Martínez-Zubieta R, Sobrevilla-Calvo P, Cantú- Brito C, y col. Prevención de la enfermedad tromboembólica venosa en Medicina Interna. Gac Med Mex 2007;143:29-33.

  6. Samama MM. An epidemiologic study of risk factors for deep vein thrombosis in medical outpatients. Arch Intern Med 2000;160: 3415-3420.

  7. Heit J, Petterson T, Bailey K, Melton L. Risk factors for venous thromboembolism (VTE) among patients hospitalized for acute medical illness: a population-based case-control study. Congress of the International Society on Thromb Haemost, Sydney, Australia. Thromb Haemost 2005;3.

  8. Kobbervig C, Heit J, Petterson T, Bailey K, Melton L. The effect of patient age on the incidence of idiopathic vs secondary venous thromboembolism: a population-based cohort study. Blood 2004;104:957a.

  9. Lee AY, Levine MN. Venous thromboembolism and cancer: risks and outcomes. Circulation 2003;107:117-121.

  10. Sorensen H, Mellemkjaer L, Steffensen F, et al. The risk of a diagnosis of cancer after primary deep venous thrombosis or pulmonary embolism. N Engl J Med 1998;338:1169-1173.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Med Int Mex. 2010;26