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http://hdl.handle.net/2445/177788
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DC Field | Value | Language |
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dc.contributor.author | Jiménez, Sònia | - |
dc.contributor.author | Miró i Andreu, Òscar | - |
dc.contributor.author | Llorens, Pere | - |
dc.contributor.author | Martín Sánchez, Francisco Javier | - |
dc.contributor.author | Burillo Putze, Guillermo | - |
dc.contributor.author | Piñera, Pascual | - |
dc.contributor.author | Martín, Alfonso | - |
dc.contributor.author | Alquézar Arbé, Aitor | - |
dc.contributor.author | García Lamberechts, Eric Jorge | - |
dc.contributor.author | Jacob, Javier | - |
dc.contributor.author | Grima, María L. L. | - |
dc.contributor.author | Millán, Javier | - |
dc.contributor.author | Molina, Francisca | - |
dc.contributor.author | Albero, Patricia B. | - |
dc.contributor.author | Cardozo, Carlos | - |
dc.contributor.author | Mòdol, Josep M. | - |
dc.contributor.author | Aguirre, Alfons | - |
dc.contributor.author | Gaya, Ruth | - |
dc.contributor.author | Adroher, María | - |
dc.contributor.author | Llauger, Lluís | - |
dc.contributor.author | Díaz, Juan J. L. | - |
dc.contributor.author | González, Nayra C. | - |
dc.contributor.author | Aragües, Paula L. | - |
dc.contributor.author | Gómez, Ana P. | - |
dc.contributor.author | Castillo, Juan G. del | - |
dc.contributor.author | TeAm (SIESTA) network | - |
dc.date.accessioned | 2021-05-28T10:13:33Z | - |
dc.date.available | 2021-05-28T10:13:33Z | - |
dc.date.issued | 2021-03-02 | - |
dc.identifier.uri | http://hdl.handle.net/2445/177788 | - |
dc.description.abstract | Background and importance: A higher incidence of venous thromboembolism [both pulmonary embolism and deep vein thrombosis (DVT)] in patients with coronavirus disease 2019 (COVID-19) has been described. But little is known about the true frequency of DVT in patients who attend emergency department (ED) and are diagnosed with COVID-19. Objective: We investigated the incidence, risk factors, clinical characteristics and outcomes of DVT in patients with COVID-19 attending the ED before hospitalization. Methods: We retrospectively reviewed all COVID patients diagnosed with DVT in 62 Spanish EDs (20% of Spanish EDs, case group) during the first 2 months of the COVID-19 outbreak. We compared DVT-COVID-19 patients with COVID-19 without DVT patients (control group). Relative frequencies of DVT were estimated in COVID and non-COVID patients visiting the ED and annual standardized incidences were estimated for both populations. Sixty-three patient characteristics and four outcomes were compared between cases and controls. Results: We identified 112 DVT in 74 814 patients with COVID-19 attending the ED [1.50‰; 95% confidence interval (CI), 1.23-1.80‰]. This relative frequency was similar than that observed in non-COVID patients [2109/1 388 879; 1.52‰; 95% CI, 1.45-1.69‰; odds ratio (OR) = 0.98 [0.82-1.19]. Standardized incidence of DVT was higher in COVID patients (98,38 versus 42,93/100,000/year; OR, 2.20; 95% CI, 2.03-2.38). In COVID patients, the clinical characteristics associated with a higher risk of presenting DVT were older age and having a history of venous thromboembolism, recent surgery/immobilization and hypertension; chest pain and desaturation at ED arrival and some analytical disturbances were also more frequently seen, d-dimer >5000 ng/mL being the strongest. After adjustment for age and sex, hospitalization, ICU admission and prolonged hospitalization were more frequent in cases than controls, whereas mortality was similar (OR, 1.37; 95% CI, 0.77-2.45). Conclusions: DVT was an unusual form of COVID presentation in COVID patients but was associated with a worse prognosis. | - |
dc.format.extent | 9 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Wolters Kluwer Health | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1097/MEJ.0000000000000783 | - |
dc.relation.ispartof | European Journal of Emergency Medicine, 2021, vol. 28, num. 3, p. 218-226 | - |
dc.relation.uri | https://doi.org/10.1097/MEJ.0000000000000783 | - |
dc.rights | (c) Wolters Kluwer Health, Inc., 2021 | - |
dc.source | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) | - |
dc.subject.classification | COVID-19 | - |
dc.subject.classification | Tromboembolisme | - |
dc.subject.other | COVID-19 | - |
dc.subject.other | Thromboembolism | - |
dc.title | Incidence, risk factors, clinical characteristics and outcomes of deep venous thrombosis in patients with COVID-19 attending the Emergency Department: results of the UMC-19-S8 | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.date.updated | 2021-05-28T06:24:26Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 33904528 | - |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
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ejem-publish-ahead-of-print-10.1097.mej.0000000000000783.pdf | 1.07 MB | Adobe PDF | View/Open |
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