Deep venous thrombosis (DVT) is a severe complication of coronavirus disease 2019 (COVID-19). The purpose of this study was to study the prevalence, risk factors, anticoagulant therapy and sex differences of DVT in patients with COVID-19. The enrolled 121 hospitalized non-ventilator patients were confirmed positive for COVID-19. All suspected patients received color Doppler ultrasound (US) to screen for DVT in both lower extremities. Multivariate logistic regression was performed to identify risk factors related to DVT in COVID-19 patients. DVT was found in 48% of the asymptomatic COVID-19 patients with an increased PADUA or Caprini index using US scanning. The multivariate logistic regression determined that age (OR, 1.05; p = .0306), C-reactive protein (CRP) (OR, 1.02; p = .0040), and baseline D-dimer (OR, 1.42; p = .0010) were risk factors among COVID-19 patients. Although the most common DVT location was infrapopliteal (classes I and II), higher mortality in DVT-COVID-19 patients was confirmed. DVT-COVID-19 patients presented significant increases in CRP, neutrophil count, and D-dimer throughout the whole inpatient period compared to non-DVT-COVID-19 patients. Although anticoagulation therapy accelerated the recovery of lymphocytopenia in DVT patients, men DVT-COVID-19 patients with anticoagulant therapy showed significant higher CRP and neutrophil count vs. lymphocyte count (N/L) ratio, but showed lower lymphocyte counts compared to women DVT-COVID-19 patients. DVT is common in COVID-19 patients with high-risk factors, especially for older age and higher CRP and baseline D-dimer populations. It is important to consider sex differences in anticoagulant therapy among DVT-COVID-19 patients.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81873529, 82000729]
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Med Coll, Union Hosp, Dept Vasc Surg, Wuhan 430022, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Cai Chuanqi,Guo Yi,You Yun,et al.Deep Venous Thrombosis in COVID-19 Patients: A Cohort Analysis[J].CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS.2020,26:doi:10.1177/1076029620982669.
APA:
Cai, Chuanqi,Guo, Yi,You, Yun,Hu, Ke,Cai, Fei...&Li, Yiqing.(2020).Deep Venous Thrombosis in COVID-19 Patients: A Cohort Analysis.CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS,26,
MLA:
Cai, Chuanqi,et al."Deep Venous Thrombosis in COVID-19 Patients: A Cohort Analysis".CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS 26.(2020)