In 342 hospitalized patients, VTE prevalence was 3.2% and was independently associated with older age, higher D-dimer, and longer hospital stay.
What is the prevalence and what are the risk factors for first-episode venous thromboembolism in hospitalized patients?
VTE occurs in 3.2% of hospitalized patients and is independently driven by older age, elevated D-dimer, and prolonged hospital stay, emphasizing the need for targeted prophylactic strategies.
Absolute Event Rate: 0% vs 0%
Abstract Background and objective Patients are at risk of developing venous thromboembolism(VTE) during hospitalization. VTE does not have any significant clinical symptoms prior to the onset of the disease, so the risk of VTE during hospitalization is likely to be overlooked or inadequately prevented by the existing risk score alone. the aim of study was to investigate the prevalence, risk factor, clinical characteristics. Methods This a single-center, prospective, cohort study was conducted in our hospital. Data on the baseline characteristics, VTE-related risk factors, clinical symptoms, laboratory examination results, computed tomography pulmonary angiography (CTPA) and lower limb venous ultrasound of AECOPD patients were collected. Patients were followed up for 3 months. Results A total of 342 patients were included in the study. The mean (SD) age was 60.15 (13.619) years and 150 (43.9%) patients were women. The prevalence of VTE was 3.2% (11/342) and PE was 0.2% (1/342). VTE patients were older; had higher D-dimer and longer length of hospital stay than non-VTE patients. The age, higher D-dimer, and longer length of hospital stay were independently associated with VTE in hospitalized patients. The higher creatinine was independently associated with death in hospitalized patients. Conclusion VTE is common in hospitalized patients and is associated the patient's age, length of hospital stay, and D-dimer. Creatinine appears to be one of the risk factors for death after discharge. There is a need for immediate and aggressive VTE screening and prophylactic management strategies for hospitalized patients with risk factors.Figure 1 Flowchart of patients hospitali Figure 2 ORs of clinical characteristic
Zhang et al. (Sat,) reported a other. In 342 hospitalized patients, VTE prevalence was 3.2% and was independently associated with older age, higher D-dimer, and longer hospital stay.