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Deep Venous Thrombosis in COVID-19 Patients: A Cohort Analysis

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Union Hosp, Dept Vasc Surg, Wuhan 430022, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Med Coll, Union Hosp, Dept Ultrasound, Wuhan, Peoples R China [3]Mayo Clin, Microbiome Program, Ctr Individualized Med, Rochester, MN USA [4]Mayo Clin, Hlth Sci Res, Rochester, MN USA [5]Huazhong Univ Sci & Technol, Union Hosp, Dept Anesthesiol, Tongji Med Coll, Wuhan, Peoples R China [6]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Canc Ctr, Wuhan, Peoples R China [7]Mayo Clin, Translat Lab, Dept Radiol Vasc & Intervent Radiol, Rochester, MN USA [8]Mayo Clin, Dept Biochem & Mol Biol, Rochester, MN USA [9]Mayo Clin, Dept Radiol Vasc & Intervent Radiol, Rochester, MN USA
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关键词: deep venous thrombosis COVID-19 anticoagulant sex difference

摘要:
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.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 4 区 血液学 4 区 外周血管病
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 血液学 4 区 外周血管病
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出版当年[2018]版:
Q3 PERIPHERAL VASCULAR DISEASE Q4 HEMATOLOGY
最新[2023]版:
Q2 HEMATOLOGY Q2 PERIPHERAL VASCULAR DISEASE

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Union Hosp, Dept Vasc Surg, Wuhan 430022, Peoples R China
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