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June 24, 2014Blood

Postthrombotic syndrome following upper extremity deep vein thrombosis in children

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Key result

Pediatric upper extremity postthrombotic syndrome frequency varied by pathogenesis and age, occurring in 87% of primary cases, 16% of secondary neonates, and 49% of secondary non-neonates (P<0.0001).

Population

158 children with objectively confirmed upper extremity deep vein thrombosis, categorized into primary…

Design

Cohort

Authors

LALaura Avila3M (United States)LDLucy DuanACAmanda CipollaThe King's College

Discussion

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Implication

May inform PTS surveillance by DVT pathogenesis and age in children; hypothesis-generating and requires prospective confirmation.

Study Design

Type

Cohort (n=158)

Structured PICO

P
Population
158 children (including neonates and non-neonates) with objectively confirmed upper extremity deep vein thrombosis.
O
Outcome
Occurrence of upper extremity postthrombotic syndrome (UE-PTS) defined as PTS score ≥1 per the Modified Villalta Scale

Main Result

p-value: p=<.0001

Pediatric upper extremity postthrombotic syndrome frequency and severity depend on DVT pathogenesis and patient age, with line-related DVT having a more benign course, especially in neonates.

Cite This Study

Avila et al. (2014) conducted a cohort in Upper extremity deep vein thrombosis (n=158). Upper extremity deep vein thrombosis pathogenesis (primary vs secondary) vs. Comparison among primary, secondary neonates, and secondary non-neonates was evaluated on Time to PTS score ≥1 (Modified Villalta Scale) (p=<.0001). Pediatric upper extremity postthrombotic syndrome frequency varied by pathogenesis and age, occurring in 87% of primary cases, 16% of secondary neonates, and 49% of secondary non-neonates (P<0.0001).

synapsesocial.com/papers/6a98eae38274c2559e36234ehttps://doi.org/10.1182/blood-2014-04-570531
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